盐酸丙帕他莫用于瑞芬太尼复合麻醉术后镇痛效果分析

Analysis the Analgesic Effect of Propacetamol Hydrochloride in Postoperative Combined Analgesia With Remifentanil

目的：对盐酸丙帕他莫用于瑞芬太尼复合麻醉术后镇痛的效果进行探讨。方法选取我院2012年4月～2013年6月收治的40例腹腔镜下胆囊切除术的患者。将其随机分为实验组和观察组，每组患者20例。实验组于手术结束前10 min，静脉输注10 g盐酸丙帕他莫，对照组于手术结束前10 min，静脉注射10 ml生理盐水，对两组患者心血管反应观察并记录。结果手术结束后，两组患者可自主呼吸，意识恢复较快，拔管时间缩短，对照组拔管后5 min、10 min和15 min的视觉模拟评分低于观察组。结论盐酸丙帕他莫对瑞芬太尼复合麻醉术后具有良好的镇痛效果。

ObjectiveTo study the effect of propacetamol hydrochloride in postoperative combined analgesia with remifentanil.MethodsForty patients with laparoscopic cholecystectomy in our hospital from April 2012 to June 2013 were selected. The patients were randomly divided into experimental group and observation group,20 cases in each group. Experimental group operation over 10 minutes before intravenous injection 10 g propacetamol hydrochloride,control group at the end of surgery for 10 minutes,intravenous injection of normal saline（10 ml）,the two groups of patients with cardiovascular responses were observed and recorded. ResultsAfter the operation,the patients could breathe freely,the consciousness restored quickly,the extubation time was shortened,the visual analog of 5 min、10 min and 15 min after the control group were lower than the observation group.Conclusion He has good analgesic effect after remifentanil combined anesthesia.