摘要
目的探讨右美托咪定辅助舒芬太尼用于全麻患者的术后镇痛效果。方法将36例患者随机分为实验组与对照组,两组患者分别给予相应治疗。对患者术后48h内的呼吸频率、脉搏氧饱和度、心率、血压变化情况,患者术后镇痛、镇静效果评分,患者的镇痛后并发症发生情况,静脉镇痛泵治疗满意度进行对比分析。结果两组患者的术后2、8、48h时间段的收缩压、舒张压、心率具有显著差异(P〈0.05),呼吸频率没有显著差异(P〉0.05)。术后2~8h内镇痛VAS评分比较,实验组高于对照组,具有显著差异(P〈0.05),术后48hVAS评分,两组没有显著差异(P〉0.05)。实验组患者的不良反应情况较对照组较少,具有差异性(P〈0.05)。两组患者没有出现呼吸抑制现象。实验组患者对静脉疼痛泵的使用满意度明显高于对照组患者,具有显著差异(P〈0.05)。结论右美托咪定辅助舒芬太尼用于全麻术后静脉自控镇痛泵时,镇痛效果较为明显,镇静效果好,不良反应小,是一种较好的麻醉辅助药物。值得在临床中应用。
Objective To study the right supporting microphones set auxiliary sufentanil for postoperative analgesia effect of general anesthesia patients. Methods 36 patients were randomly divided into experimental group and control group, two groups of patients were given corresponding treatment. In 48 hours after surgerywithin the respiratory rate, pulse oxygen saixtration, heart rate, blood pressureehanges, analgesia, sedation scores of patients after surgery, complications werecompared after analgesia, intravenous analgesia pump treatment satisfaction. Results Two groups of patients with postoperative period of 2 hours, 8 hours, 48 hours systolic pressure, diastolic blood pressure and heart rate had significant difference (P〈0.05), there was no significant differelace between breathing rate (P〉0.05). Postoperative analgesia VAS score is 2 - 8 hours, the experimental group was higher than the control group with significant difference (P〈0.05), postoperative VAS scores 48 hours, there was no significant difference between two groups (P〉0.05), Group of patients with adverse reaction is less than the control group, with a difference (P〈0.05). Two groups of patients with no respiratory depression. The use of the experimental group patients with venous pain pump satisfaction is significantly higher than the control group patients, with significant difference (P〈0.05). Conclusion Right beauty holds the mi aided sufentanil for postoperative intravenous general anesthesia self-control analgesia pump, analgesic effect is more obvious, sedative effect is good, less adverse reaction, is a good auxiliary drug anesthesia, is worth in clinical application.
出处
《中国医药指南》
2014年第1期28-29,共2页
Guide of China Medicine
关键词
右美托咪定
舒芬太尼
麻醉
术后镇痛
The right supporting the mi
Sufentanil
Anesthesia
Postoperative analgesia