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舒芬太尼与曲马多术后早期镇痛效果的比较 被引量:6

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摘要 目的比较舒芬太尼与曲马多单次静脉给药用于腹部手术术后病人早期镇痛效果及不良反应。方法择期腹部手术患者40例,随机分为两组。舒芬太尼组(S组):舒芬太尼0.15μg/Jg;曲马多组(T组):曲马多1.5mg/kg+氟哌利多1mg。记录VAS评分、镇静评分、睁眼时间、拔管时间、术后1小时内不良反应情况。结果 S、T组术后各时间点VAS评分均≤3分,镇痛满意;S组T4时间点VAS评分明显低于T组(P<0.05),其它时间点无显著性差异(P>0.05);两组循环稳定性无显著性差异﹙P>0.05﹚;镇静效果评分无显著性差异(P>0.05);术后1小时内呼吸抑制、恶心、呕吐等不良反应无显著性差异(P>0.05)。结论静脉单次注射舒芬太尼0.15μg/kg、曲马多1.5mg/kg+氟哌利多1mg均具有明显的早期镇痛效果,均可减轻全麻患者术毕拔管期间的心血管反应,恶心、呕吐等不良反应少。
作者 周岱鹏 任铭
出处 《浙江创伤外科》 2014年第1期142-144,共3页 Zhejiang Journal of Traumatic Surgery
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