中国药师
中國藥師
중국약사
CHINA PHARMACIST
2015年
6期
989-991
,共3页
开胸手术%地佐辛%氟比洛芬酯%烦躁状态
開胸手術%地佐辛%氟比洛芬酯%煩躁狀態
개흉수술%지좌신%불비락분지%번조상태
Thoracotomy%Dezocine%Flurbiprofen%Irritability status
目的：：探讨在开胸手术中采用地佐辛联合氟比洛芬酯麻醉处理的临床效果，以及对患者术后烦躁状态的影响。方法：98例行开胸手术的患者随机分为对照组与观察组各49例，对照组在手术结束后采用芬太尼与地佐辛静脉自控镇痛，观察组联合应用地佐辛与氟比洛芬酯静脉自控镇痛。观察两组患者临床麻醉效果、药品不良反应及术后躁动状况，比较两组患者不同时点的VAS评分与Ramsay镇静评分。结果：观察组患者在术后2 h与4 h的VAS评分均显著低于对照组(P<0.05)，拔管时与拔管后5 min的Ramsay镇静评分明显好于对照组(P<0.05)；术后苏醒期躁动率和不良反应发生率明显低于对照组(P<0.01)。结论：开胸手术患者术后联合应用地佐辛与氟比洛芬酯静脉自控镇痛可充分保证镇痛效果，缓解术后躁动情况，具有良好的临床应用价值。
目的：：探討在開胸手術中採用地佐辛聯閤氟比洛芬酯痳醉處理的臨床效果，以及對患者術後煩躁狀態的影響。方法：98例行開胸手術的患者隨機分為對照組與觀察組各49例，對照組在手術結束後採用芬太尼與地佐辛靜脈自控鎮痛，觀察組聯閤應用地佐辛與氟比洛芬酯靜脈自控鎮痛。觀察兩組患者臨床痳醉效果、藥品不良反應及術後躁動狀況，比較兩組患者不同時點的VAS評分與Ramsay鎮靜評分。結果：觀察組患者在術後2 h與4 h的VAS評分均顯著低于對照組(P<0.05)，拔管時與拔管後5 min的Ramsay鎮靜評分明顯好于對照組(P<0.05)；術後囌醒期躁動率和不良反應髮生率明顯低于對照組(P<0.01)。結論：開胸手術患者術後聯閤應用地佐辛與氟比洛芬酯靜脈自控鎮痛可充分保證鎮痛效果，緩解術後躁動情況，具有良好的臨床應用價值。
목적：：탐토재개흉수술중채용지좌신연합불비락분지마취처리적림상효과，이급대환자술후번조상태적영향。방법：98례행개흉수술적환자수궤분위대조조여관찰조각49례，대조조재수술결속후채용분태니여지좌신정맥자공진통，관찰조연합응용지좌신여불비락분지정맥자공진통。관찰량조환자림상마취효과、약품불량반응급술후조동상황，비교량조환자불동시점적VAS평분여Ramsay진정평분。결과：관찰조환자재술후2 h여4 h적VAS평분균현저저우대조조(P<0.05)，발관시여발관후5 min적Ramsay진정평분명현호우대조조(P<0.05)；술후소성기조동솔화불량반응발생솔명현저우대조조(P<0.01)。결론：개흉수술환자술후연합응용지좌신여불비락분지정맥자공진통가충분보증진통효과，완해술후조동정황，구유량호적림상응용개치。
Objective:To investigate the clinical effects of dezocine combined with flurbiprofen anesthesia for thoracotomy patients and the influence on postoperative irritability status. Methods:Totally 98 cases of patients with thoracotomy were selected and randomly divided into the control group and the research group with 49 ones in each. The control group was given fentanyl and dezocine patient-controlled intravenous analgesia at the end of surgery, and the research group was given dezocine combined with flurbiprofen instead. The clinical anesthesia effects and postoperative irritability status of the two groups were observed and statistically analyzed. Results:The VAS scores in 2 h and 4 h after the surgery in the research group were significantly lower than those in the control group ( P<0. 05). The Ramsay sedation scores at the extubation and in 5min after the extubation in the research group were significantly better than those in the control group (P<0. 05). Furthermore, the postoperative irritability rate and the probability of adverse reactions were significantly lower in the research group (P<0. 01). Conclusion:The implementation of dezocine combined with flurbiprofen anesthe-sia for thoracotomy patients can fully ensure analgesic effect and relieve postoperative restlessness with good clinical application value.
