超前镇痛复合硬膜外麻醉用于妇科手术的疗效观察

Preemptive Analgesia Combined with Epidural Anesthesia for Gynecological Operation Of curative Effect Observation

目的研究分析芬太尼和地佐辛应用于妇科手术的超前镇痛治疗对患者血液动力学和疼痛的影响。方法 2011至2014年我院共接收了30例硬膜外麻醉妇科手术患者,将这些患者分组为C、Q两组,C组患者在硬膜外麻醉5分钟后注射地佐辛,Q组患者在硬膜外麻醉后注射芬太尼,对两组患者的10分钟(T0)、阻滞即刻(T1)、切皮即刻(T2)、切皮后30 min(T3),术毕(T4)的SBP、DBP、HR,VAS评分。结果 Q组患者的SBP、DBP、HR结果为T1高于T0,T2的SBP比T0高,T3的SBP比T0高;C组各点变化不明显,C组的SBP、DBP比Q组低,两组结果存在统计学差异性,P<0.05。结论妇科手术超前镇痛使用地佐辛的效果要比芬太尼优秀,患者的血液动力学更稳定,镇痛效果更佳,可以在临床中进行推广使用。

Objective To study the analysis of fentanyl and dezocine preemptive analgesia should be used for gynecological operation treatment eftfects onhemodynanfics and pain. Methods From 2011 to 2014 in our hospital received a tot;d of 30 cases of epidural anesthesia in patients with gynecological operation, these patients were grouped into C, Q two groups, anesthesia 5 rain after the injection of dezocinegroup C in patients with epidural anesthesia, patients in group Q after epidural injection of fentanyl in patients in the two group, 10 minutes （T0） ）, block （ T1 ）, immediately after skin incision （ T2 ）, 31）rain after skin incision （ T3 ）, the end of operation （ T4 ） of SBP, DBP, HR, VAS score. Results SBP, DBP, HR results in the Q group patients were higher than those ofT0 T1, T2 SBP is higher than TO, the T3 SBP is higher than T0; C group eachpoint did not change siguificantly in group C, SBP, DBP lower than Q group, the two sets of results there is significant difference P〈0.05. Conclusion Gynecologic operationusing dezocine preemptive analgesia effect than fentanyl outstanding, hemodynamics in patients with more stable, analgesic effect is better, can be popularized in clinical use.