骨科手术后应用氯诺昔康及芬太尼自控镇痛效果评价

Evaluation of Lornoxicam and Fentanyl Analgesia after Operation in Department of Orthopedics

目的评价骨科手术后应用氯诺昔康及芬太尼自控镇痛的效果及安全性。方法按数字表法将214例患者分成对照组和观察组各107例,对照组使用芬太尼,观察组使用氯诺昔康及芬太尼自控镇痛,比较两组术后4 h VAS评分、镇静评分和副反应发生率。结果观察组术后4 h VAS评分、镇静评分与对照组比较,差异无统计学意义(P>0.05);观察组副反应发生率低于对照组,差异有统计学意义(P<0.05)。结论骨科手术后应用氯诺昔康及芬太尼自控镇痛有助于减轻患者的痛苦及提高患者的满意度,降低副反应,应用前景广泛。

Objective Evaluation the efficacy and safety of lornoxicam and fentanyl after Department of orthopedics operation. Methods According to the digital table method,214 cases of patients were divided into control group and observation group with 107 cases in each group, the control group using fentanyl,the observation group using lornoxicam and fentanyl, compared 4 h VAS score、sedation score and the incidence of adverse events between two groups. Results The 4 h VAS score and sedation score in observation group compared with control group were no significant difference（P〉0.05）; the incidence of adverse events in observation group was lower than control group,the difference was significant（P〈0.05）. Conclusion The application of fentanyl and lornoxicam analgesia can relieve the suffer of patients、improve satisfaction,relieveadverse events and with wide application prospect.