CAJ | 학술논문

目的：比较单纯用布托啡诺、舒芬太尼和布托啡诺复合舒芬太尼用于创伤患者术后自控静脉镇痛（ PCIA）的临床效果。方法120例ASAⅠ～Ⅲ级创伤患者，均采用气管插管静脉复合麻醉，随机分为布托啡诺组（ B组）、舒芬太尼组（ S组）和布托啡诺复合舒芬太尼组（ BS组），每组40例。观察术后6、12、24、48 h镇痛、镇静效果，患者PCIA的给药次数和不良反应情况。结果三组PCIA方案均能达到良好镇痛目的，各时间点VAS评分差异无统计学意义（P＞0．05）。 BS组不良反应发生率较低，患者满意度更高（ P＜0.05）。结论布托啡诺复合舒芬太尼是一种较理想的创伤患者术后镇痛方法。
목적：비교단순용포탁배낙、서분태니화포탁배낙복합서분태니용우창상환자술후자공정맥진통（ PCIA）적림상효과。방법120례ASAⅠ～Ⅲ급창상환자，균채용기관삽관정맥복합마취，수궤분위포탁배낙조（ B조）、서분태니조（ S조）화포탁배낙복합서분태니조（ BS조），매조40례。관찰술후6、12、24、48 h진통、진정효과，환자PCIA적급약차수화불량반응정황。결과삼조PCIA방안균능체도량호진통목적，각시간점VAS평분차이무통계학의의（P＞0．05）。 BS조불량반응발생솔교저，환자만의도경고（ P＜0.05）。결론포탁배낙복합서분태니시일충교이상적창상환자술후진통방법。
Objective To observe the analgesic effects and side effects of butorphanol and sulfentanty combination on postop-erative patient controlled intravenous analgesia ( PCIA) in trauma patients.Methods One hundred and twenty trauma patients requi-ring PCIA postoperatively were randomly divided into 3 groups.Butorphanol group ( Group B) , sulfentanty group( Group S) , butorpha-nol and sulfentanty group(Group BS).The following indexes were noted at 6, 12, 24, and 48 hours respectively after operation:pain VAS score, Ramsay sedation score, frequency of self-controlled medication and adverse reactions.Results The VAS scores in three groups were not significantly different(P>0.05).Adverse reactions in Group BS are lower than that in the other two groups(P<0.05 ) .Conclusion Butorphanol and sulfentanty combination has good effects on relieving postoperative pain with fewer side effects in trama patients.