世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
57期
13-13,16
,共2页
地佐辛%舒芬太尼%开胸手术%术后静脉镇痛
地佐辛%舒芬太尼%開胸手術%術後靜脈鎮痛
지좌신%서분태니%개흉수술%술후정맥진통
dezocine%sufentanil%thoracotomy%Postoperative intravenous analgesia
目的：分析不同剂量地佐辛联合舒芬太尼的静脉镇痛效果。方法：纳入病例60例，我院2014年1月份到2015年实施开胸手术治疗患者。随机分成三组，患者术后均实施静脉镇痛。三组患者依次取地佐辛0.17mg/kg、0.34mg/kg以及0.51mg/kg，联合舒芬太尼1.7μg/kg。观察三组病人镇痛效果。结果：三组患者nrs无显著差别（P>0.05)；iii组ramsay分值比其余两组高，P<0.05；i组的Bcs分值比其余两组低，P<0.05；iii组不良反应发生率高于其余两组，P<0.05。i组的按压次数要比其余两组多，P<0.05。总的用药量无差别。三组患者应用时间差别明显，P<0.05。结论：应用0.34mg/kg地佐辛与1.7μg/kg舒芬太尼对开胸术后患者实施静脉镇痛，安全性高，镇痛效果满意。
目的：分析不同劑量地佐辛聯閤舒芬太尼的靜脈鎮痛效果。方法：納入病例60例，我院2014年1月份到2015年實施開胸手術治療患者。隨機分成三組，患者術後均實施靜脈鎮痛。三組患者依次取地佐辛0.17mg/kg、0.34mg/kg以及0.51mg/kg，聯閤舒芬太尼1.7μg/kg。觀察三組病人鎮痛效果。結果：三組患者nrs無顯著差彆（P>0.05)；iii組ramsay分值比其餘兩組高，P<0.05；i組的Bcs分值比其餘兩組低，P<0.05；iii組不良反應髮生率高于其餘兩組，P<0.05。i組的按壓次數要比其餘兩組多，P<0.05。總的用藥量無差彆。三組患者應用時間差彆明顯，P<0.05。結論：應用0.34mg/kg地佐辛與1.7μg/kg舒芬太尼對開胸術後患者實施靜脈鎮痛，安全性高，鎮痛效果滿意。
목적：분석불동제량지좌신연합서분태니적정맥진통효과。방법：납입병례60례，아원2014년1월빈도2015년실시개흉수술치료환자。수궤분성삼조，환자술후균실시정맥진통。삼조환자의차취지좌신0.17mg/kg、0.34mg/kg이급0.51mg/kg，연합서분태니1.7μg/kg。관찰삼조병인진통효과。결과：삼조환자nrs무현저차별（P>0.05)；iii조ramsay분치비기여량조고，P<0.05；i조적Bcs분치비기여량조저，P<0.05；iii조불량반응발생솔고우기여량조，P<0.05。i조적안압차수요비기여량조다，P<0.05。총적용약량무차별。삼조환자응용시간차별명현，P<0.05。결론：응용0.34mg/kg지좌신여1.7μg/kg서분태니대개흉술후환자실시정맥진통，안전성고，진통효과만의。
Objective: to analyze the intravenous analgesia effect of different doses of dezocine combined with sufentanil. Methods: 60 patients who had received thoracotomy in our hospital between January 2014 and 2015 were selected, and randomly divided into three groups. Patients in all the three groups were given intravenous analgesia after the surgery by taking Dezocine of doses at 0.17mg/kg, 0.34mg/kg and 0.51mg/kg respectively combined with 1.7μg/kg of Sufentanil. The analgesic effects in the three groups were observed.Results: There was no signiifcant difference in NRS between the three groups (P>0.05); ramsay scores of group iii were higher than those in the other two groups (P<0.05); Bcs scores in group i were lower than those in the other two groups (P<0.05); incidence of adverse reactions in group iii was higher than the other two groups (P<0.05); the pressing times in group i was more than the other two groups (P<0.05). However, there was no difference in the total dose of drug. The application time in the three groups showed signiifcant difference (P<0.05).Conclusion: 0.34mg/kg of dezocine and 1.7μg/kg of Sufentanil is with satisfactory intravenous analgesia for patients after thoracotomy, which is also with high safety.
