布托啡诺对子宫肌瘤剔除术后镇痛的疗效观察

Clinical observation on butorphanol applied to hysterectomy postoperative analgesia

目的探讨布托啡诺术后镇痛对行子宫肌瘤剔除术患者的影响。方法将68例患者随机分成试验组和对照组,其中试验组34例,采用布托啡诺镇痛方案;对照组34例,采用吗啡镇痛方案。观察和比较两组患者的镇痛效果、镇静程度、不良反应及患者的满意度。结果试验组患者术后各时段视觉模拟评分法(VAS)评分均略低于对照组,差异无统计学意义(P>0.05)。试验组患者术后各时段镇静评分(SS评分)均明显高于对照组,差异有统计学意义(P<0.05)。试验组患者的恶心呕吐、皮肤瘙痒等发生率明显低于对照组,差异有统计学意义(P<0.05)。试验组患者的总满意率明显高于对照组,差异有统计学意义(P<0.05)。结论布托啡诺应用于子宫肌瘤剔除术后镇痛效果良好,不良反应少,安全可靠。

Objective To investigate the impact of butorphanol postoperative analgesia for patients with hysterectomy. Methods The 68 cases of patients were randomly divided into two groups, treatment group （n = 34） and control group （n = 34）. The treatment group was given butorphanol postoperative analge- sia, and the control group was given morphine postoperative analgesia. The analgesic effect, the degree of sedation, the incidence of adverse reactions, and patient satisfaction in 2 groups was observed and com- pared. Results The postoperative VAS score in 2 groups were no significant difference （ P 〉 0. 05 ） ; The postoperative SS score in the treatment group were significantly higher than the control group （ P 〈 O. 05 ） ; the incidence of nausea and vomiting, pruritus in the treatment group were significantly lower than the con- trol group（P 〈 0. 05 ） ;the total satisfaction rate in the treatment group was significantly higher than the con- trol group（P 〈 0. 05）. Conclusion There is good analgesic effect butorphanol postoperative analgesia used in hysterectomy, and fewer adverse reactions, safe and reliable.