摘要
目的:比较在内窥镜手术术后舒芬太尼与地佐辛的镇痛效果。方法:60例内窥镜手术患者,随机分为D组和S组,在靶控输注丙泊酚和瑞芬太尼完成手术前,D组给予地佐辛0.15mg.kg-1,S给予舒芬太尼0.2ug.kg-1,观察从停止输注丙泊酚到有指令性动作时间;从有指令性动作开始10min、30min、60min、90min的SpO2、RR及从有指令性动作开始30min、60min、90min的VAS评分。结果:D组苏醒时间较S组短,S组RR明显低于D组,S组与D组VAS评分差异无统计学意义,S组有3例SpO2低于<90%,D组有4例出现呕吐。结论:地佐辛与舒芬太尼在内窥镜手术术后镇痛上无明显统计学差异,但地佐辛对呼吸的影响小于舒芬太尼。
Objective:Comparison of postoperative analgesia in ENT endoscopic surgery with dezocine and sufentanil.Methods:60 patients scheduled for ENT endoscopic surgery were randomly assigned into dezocine group(Group D,n=30),sufentanil group(Group S,n=30).before the finish of the surgerise given the General anesthesia by Target-controlled infusion of Propofol and Remifentanil,group D is given dezocin 0.15mg/kg.Group S is given Sufentanil 0.2ug/kg..Observed the time between stopped infusioning Propofol and patients had Mandatory action,SpO2,RR after Mandatory action at 10min,30min,60min,90min,VAS after Mandatory action at 30min,60min,90min.Results:Waking time of group D was shorter than group S,RR of group S was lower than group D,There were no significant differences of VAS between two groups,SpO2was below 90% in three patients of group S.Four patients vomitted in group D.Conclusion:There were no significant differences of postoperative analgesia in ENT endoscopic surgery between dezocine and sufentanil,but dezocine has less influence on respiration.
出处
《中国医药导刊》
2013年第1期104-104,106,共2页
Chinese Journal of Medicinal Guide
关键词
靶控输注
舒芬太尼
地佐辛
镇痛
Target-controlled infusion
Sufentanil
Dezocine
Analgesia