静脉自控镇痛对于重度烧伤休克期消化道出血发生率的影响

Effects of Fentanyl-vein Controlled Analgesic on the Incidence rate of Alimentary Tract Hemorrhage in Severe Degree Burn Patients' during Shock Stage

目的:芬太尼静脉自控镇痛与传统镇痛应用于重度烧伤休克期,比较两组消化道出血的发生率。方法:将重度烧伤患者50例随机分成实验组和对照组,每组25例,实验组予芬太尼静脉镇痛,对照组予哌替啶50mg异丙嗪25mg肌肉注射,观察镇痛开现后患者的VAS评分、消化道出血发生率。结果:实验组VSA评分低于对照组。(P<0.05)两组消化道出血的发生率实验组低于对照组。(P<0.05)。结论:芬太尼静脉自控镇痛能给重度烧伤患者满意镇痛,能减少该期患者消化道出血的发生率。

Objective： To study the application of fentanyl - vein controlled analgesic for severe degree burn patients,who were occupying inhibitory stage of shock ,and to the incidence rate of alimentary tract hemorrhage in two groups patients. Methods： To elect 50 severe burn patients,who were divided into two groups randomly ,one was experiment group（EG） ,the other was control group（CG） , every group had 25 patients, to supply the fentanyl vein controlled analgesic for EG;to supply meperidine 50mg, phenergan 25mg for CG by intramuscular injection, when the analgesic start, to observe the VAS score and the incidence rate of alimentary tract hemorrhage. Results： EG＇ s VSA score was lower than the CG＇s （ P 〈 0.05 ） , EG＇ s incidence rate of alimentary tract hemorrhage was lower than the CG＇ s （ P 〈 0.05 ）. Conclusion：For severe burn patients, compare with tradition analgesic, fentanyl-vein controlled analgesic could supply satisfactory analgesic, and could diminish the the incidence rate of alimentary tract hemorrhage.