恢复室镇痛与术中瑞芬太尼的相关性被引量：1

Correlation between Analgesia in the Postanesthesia Care Unit and Intraoperative Remifentanil

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摘要目的分析恢复室镇痛与术中瑞芬太尼的相关性.方法在电子病历数据库中检索5 594例恢复室患者的数据,记录恢复室镇痛药物和术中瑞芬太尼的使用情况,并采用计数资料实施病例-对照研究.结果5 594例患者中,205例（3.66％）在麻醉恢复室接受镇痛药物治疗.在成组病例-对照研究中,病例组与对照组的瑞芬太尼应用比例分别为87/205和1 224/5 389（OR =2.51,95％ CI=1.87～3.36,P=0.000）.在配对病例-对照研究中,共205个“对子”（OR=1.67,95％ CI=1.12～2.80,P=0.011）.结论在一定程度上麻醉恢复室镇痛与术中瑞芬太尼可能有关. Objective To analyze the correlation between analgesia in the postanesthesia care unit and intraoperative remifentanil.Methods The data of 5 594 patients in the postanesthesia care unit were retrospectively retrieved from the database of electronic medical record.The use of analgesic drugs in the postanesthesia care unit and intraoperative remifentanil was recorded,and case-control study was performed based on these enumeration data.Results A total of 205 （3.66％） patients out of 5 594 in the postanesthesia care unit were administered with analgesic drugs.In the grouped case-control study,remifentanil was intraoperatively used in 87 patients in the case group （n =205） and in 1 224 patients in the control group （n =5 389）（OR =2.51,95％ CI =1.87-3.36,P =0.000）.There were 205 ＂paired numbers＂ in the matched case-control study （OR =1.67,95％ CI =1.12-2.80,P =0.011）.Conclusion The analgesia in the postanesthesia care unit may be correlated with intraoperative remifentanil to a certain extent.

作者徐建青张静

机构地区中国医学科学院北京协和医学院北京协和医院麻醉科中国医学科学院北京协和医学院北京协和医院手术室

出处《中国医学科学院学报》 CAS CSCD 北大核心 2014年第4期385-388,共4页 Acta Academiae Medicinae Sinicae

关键词瑞芬太尼术后麻醉麻醉恢复室病例-对照研究 remifentanil postoperative anesthesia postanesthesia care unit case-control study

分类号 R614 [医药卫生—麻醉学]

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