舒芬太尼与芬太尼用于腹腔镜胆囊切除术患者术后疼痛的对比

Comparison of Sufentanil and Fentanyl for Postoperative Pain after Laparoscopic Cholecystectomy

目的舒芬太尼与芬太尼用于腹腔镜胆囊切除术术后疼痛的对比。方法 100例需进行腹腔镜胆囊切除术的患者随机分为实验组和对照组,对照组采用芬太尼,实验组采用舒芬太尼对患者进行麻醉。比较实验组与对照组患者在进行手术后的镇痛效果以及临床出现的不良反应。结果 T0、T1、T5 VAS评分及Prince-Henry评分无明显差异(P>0.05),T2、T3、T4VAS评分及Prince-Henry评分有明显差异(P<0.05)。实验组的不良反应低于对照组(P<0.05)。结论在腹腔镜胆囊切除术时,采用舒芬太尼比芬太尼麻醉具有更明显的镇痛效果。

Objective To compare sufentanil and fentanyl for postoperative pain after laparoscopic cholecystectomy. Methods 100 patients with laparoscopic cholecystectomy were randomly divided into experimental group and control group, control group received fentanyl, experimental group accepted sufentanil, to compare the analgesic effect and the adverse reactions between two groups. Results There had no significant difference in score of VAS and Prince-Henry in T0, T1, T5（P〈0.05）, while score of VAS and Prince-Henry in T2, T3, T4 had significant difference（P〈0.05）. The adverse reactions of experimental group were lower than control group（P〈0.05）. Conclusion Sufentanil has more obvious analgesic effect than fentanyl in laparoscopic cholecystectomy.