中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
69-70
,共2页
地佐辛%布托啡诺%剖宫产%术后镇痛
地佐辛%佈託啡諾%剖宮產%術後鎮痛
지좌신%포탁배낙%부궁산%술후진통
Dezocine%Bhutto butorphanol%Cesarean section%Postoperative analgesia
目的：观察不同剂量的地佐辛复合布托啡诺用于剖宫产术后静脉镇痛的效果。方法：收治择期剖宫产孕妇90例，随机分为3组(D1、D2、D3)，均用布托啡诺0.1 mg/kg 加0.9%氯化钠注射液配成60 mL。D1组加地佐辛10 mg，D2组加地佐辛5 mg，D3组不加地佐辛。3组均用盐酸布比卡因7.5 mg，容量3 mL，L2～3～L3～4腰椎穿刺单次腰麻下完成手术。胎儿娩出后静注地佐辛5 mg预冲负荷剂量，术毕接镇痛泵。观察产妇镇静、镇痛及并发症的情况。结果：镇痛VAS评分D1、D2组均低于D3组，差异有统计学意义(P＜0.05)；镇静Ramsay评分D1、D2组均高于D3组，差异有统计学意义(P＜0.05)。并发症恶心、呕吐、头痛未见相加作用。结论：地佐辛复合布托啡诺镇痛、镇静比单用布托啡诺效果好，最佳剂量为10 mg。
目的：觀察不同劑量的地佐辛複閤佈託啡諾用于剖宮產術後靜脈鎮痛的效果。方法：收治擇期剖宮產孕婦90例，隨機分為3組(D1、D2、D3)，均用佈託啡諾0.1 mg/kg 加0.9%氯化鈉註射液配成60 mL。D1組加地佐辛10 mg，D2組加地佐辛5 mg，D3組不加地佐辛。3組均用鹽痠佈比卡因7.5 mg，容量3 mL，L2～3～L3～4腰椎穿刺單次腰痳下完成手術。胎兒娩齣後靜註地佐辛5 mg預遲負荷劑量，術畢接鎮痛泵。觀察產婦鎮靜、鎮痛及併髮癥的情況。結果：鎮痛VAS評分D1、D2組均低于D3組，差異有統計學意義(P＜0.05)；鎮靜Ramsay評分D1、D2組均高于D3組，差異有統計學意義(P＜0.05)。併髮癥噁心、嘔吐、頭痛未見相加作用。結論：地佐辛複閤佈託啡諾鎮痛、鎮靜比單用佈託啡諾效果好，最佳劑量為10 mg。
목적：관찰불동제량적지좌신복합포탁배낙용우부궁산술후정맥진통적효과。방법：수치택기부궁산잉부90례，수궤분위3조(D1、D2、D3)，균용포탁배낙0.1 mg/kg 가0.9%록화납주사액배성60 mL。D1조가지좌신10 mg，D2조가지좌신5 mg，D3조불가지좌신。3조균용염산포비잡인7.5 mg，용량3 mL，L2～3～L3～4요추천자단차요마하완성수술。태인면출후정주지좌신5 mg예충부하제량，술필접진통빙。관찰산부진정、진통급병발증적정황。결과：진통VAS평분D1、D2조균저우D3조，차이유통계학의의(P＜0.05)；진정Ramsay평분D1、D2조균고우D3조，차이유통계학의의(P＜0.05)。병발증악심、구토、두통미견상가작용。결론：지좌신복합포탁배낙진통、진정비단용포탁배낙효과호，최가제량위10 mg。
Objective:To explore the effect of different doses of dezocine combined with bhutto butorphanol in the postoperative intravenous analgesic after cesarean section.Methods:90 cases of elective cesarean section pregnant women were selected.They were randomly divided into three groups(D1,D2,D3).Three groups were treated with bhutto butorphanol 0.1 mg/kg,added with 0.9% sodium hydroxide solution for 60 mL.D1 group added dezocine 10 mg.D2 group added dezocine 5 mg,D3 group did not add dezocine.Three groups of pregnant women were treated with bupivacaine hydrochloride 7.5 mg,capacity 3 mL,and they were given surgical treatment with L2~3 to L3~4 lumbar puncture for single spinal anesthesia.After delivery of fetus,pregnant women were given intravenous dezocine 5 mg for precharge loading dose,after operation,they were given the analgesia pump.We observed the sedation,analgesia and complications.Results:The VAS score of D1 and D2 group was lower than that of D3 group,and the difference was statistically significant(P<0.05).The Ramsay score of D1 and D2 group was higher than that of D3 group,and the difference was statistically significant(P<0.05).In complications,nausea,vomiting,headache had no additive effect.Conclusion:The analgesic and sedation effect of dezocine combined with butorphanol was better than single use of bhutto butorphanol,and optimal dose group was 10 mg.
