CAJ | 학술논문

目的：分析和探讨芬太尼在临床治疗活动中产生的镇痛和镇静作用。方法选择2013年11月～2014年11月来我院接受治疗的危重患儿60例作为研究对象，使用芬太尼1～4μg/kg·h进行持续静脉滴注，对患儿用药后的4 h、8 h、24 h、48 h产生的镇痛及镇静效果进行动脉血气分析，经Ramsay的实际镇静分级影响、血痒饱和度、呕吐、恶心及心律失常的各种副反应情况进行分析和比较。结果芬太尼在镇痛、镇静作用表现上能够减轻患儿出现各种应激反应，减少实际氧耗量等。治疗有效率高达96%。结论有效安全地实施各种治疗和操作，患者药物不良反应相对较少，对于提升临床治疗活动中的急救存活率有着明显的作用，值得在今后治疗中进行推广。
목적：분석화탐토분태니재림상치료활동중산생적진통화진정작용。방법선택2013년11월～2014년11월래아원접수치료적위중환인60례작위연구대상，사용분태니1～4μg/kg·h진행지속정맥적주，대환인용약후적4 h、8 h、24 h、48 h산생적진통급진정효과진행동맥혈기분석，경Ramsay적실제진정분급영향、혈양포화도、구토、악심급심률실상적각충부반응정황진행분석화비교。결과분태니재진통、진정작용표현상능구감경환인출현각충응격반응，감소실제양모량등。치료유효솔고체96%。결론유효안전지실시각충치료화조작，환자약물불량반응상대교소，대우제승림상치료활동중적급구존활솔유착명현적작용，치득재금후치료중진행추엄。
Objective The purpose of this analysis and discussion in order to produce fentanyl in the clinical treatment of pain and sedation activities. Method Select 2013 November to 2014 November in our hospital treated 60 cases of critically ill children with clinical data as the research object, using 1 to 4 g/(kg.h) by continuous intravenous infusion, analysis of patient medication after produced after 4, 8, 24/48h pain and sedation effect on the critically ill son of arterial blood gas by actual sedation grade, inlfuence, Ramsay skin itching saturation, vomiting, nausea and arrhythmia of various adverse reactions were analyzed and compared.Results Fentanyl can relieve the children appear various emergency response in pain, sedation performance, reduce the actual oxygen consumption. The effective rate of the treatment of up to 96%. Conclusion Safe and effective implementation of various treatment and operation, patients with adverse reactions of drugs for relatively small, has a significant role to enhance the clinical therapeutic activity in the critically ill children emergency survival rate, it is worth to promote in the future in the treatment of.