静脉麻醉在老年人肩周炎治疗中的应用

The role of intravenous anesthesia in manuduction treatment of scapulohumeral periarthritis in elderly patients

目的比较丙泊酚和芬太尼在肩关节粘连松解术中的应用。方法老年肩周炎患者180例。将他们随机分成两组,B组仅用丙泊酚,F组使用丙泊酚和芬太尼。分别记录两组患者从注药到睫毛反射消失的时间、呼之睁眼的时间、能回答问题的时间、术后VAS分级、使用强痛定的例数。结果F组和B组患者的睁眼时间及能回答问题的时间差异有统计学意义(P<0.05)。F组和B组的VAS评分和使用强痛定的例数差异无统计学意义。结论在静脉麻醉下进行肩关节粘连松解术,使用芬太尼并不能减少术后患者的疼痛程度,反而延长了术后唤醒的时间。

Objective To compare the anesthetic effects between propofol and fentanyl in the lysis of adhesions of should joint. Methods One hundred and eighty old patients with seapulohumeral periarthritis were equally randomized into two groups： group B, where only propofol was administered, and group F, where both propfol and fentanyl were administered. The duration of loss of lash retlex from the very beginning of injection, eye opening and verbal response, as well as postoperative VAS value and the numher of patients using hucinperazine were recorded and analyzed. Results There were significant differences in the duration of eye opening and verbal response between the two groups. The VAS value and the numher of patients using bueinperazine were similar between the two groups. Conclusions Fentnayl could not decrease the degree of postoperative pain in patients undergoing lysis of adhesions of should joint with intravenous anesthesia; on the contrary, it extended the postoperative awaking time.