舒芬太尼用于腰硬联合阻滞麻醉的手术镇痛效果观察

Clinical Observations on the Analgesic Effect of Sufentanil in Combined Spinal-epidural Anaesthesia(CSEA)

目的探析舒芬太尼用于腰硬联合阻滞麻醉的手术镇痛效果。方法选择2013年1月~2015年12月收治的100例腰硬联合阻滞麻醉手术患者,分为两组,对照组患者使用芬太尼进行镇痛,观察组患者使用舒芬太尼进行镇痛,统计分析两组患者的镇痛效果。结果镇痛前,观察组患者的VAS评分是（7.1±1.4）分,对照组是（7.2±1.3）分,无显著差异性（P〉0.05）。镇痛后的观察组患者的VAS评分是（3.0±1.2）分,对照组是（5.1±1.6）分,差异性显著（P〈0.05）。实施镇痛后,两组患者的神经阻滞未见显著差异性（P〉0.05）。观察组患者的不良反应发生率是30%,对照组患者是64%,差异性显著（P〈0.05）。结论舒芬太尼用于腰硬联合阻滞麻醉手术镇痛中的效果极为理想,能够有效减轻患者的术后疼痛程度,避免神经阻滞的发生。

Objective To analyze the analgesic effect of sufentanil in combined spinal- epidural anaesthesia（ CSEA）. Methods From January 2013 to December 2015,100 cases of CSEA in Surgical Department of Lingyuan Central Hospital were selected,They were randomly divided into two groups,the control group patients were treated with fentanyl for analgesia,in the observation group were treated with sufentanil analgesia,statistical analysis analgesic effect of the two groups of patients. Results The pain,the VAS score of the observation group is（ 7. 1 ± 1. 4） points,the control group is（ 7. 2 ± 1. 3）,no significant difference（ P〈0. 05）. Analgesia after the VAS scores of the observation group is（ 3 ± 1. 2） points,the control group is（ 5. 1 ± 1. 6）,a significant difference（ P〈0. 05）. After the implementation of nerve block analgesia,there was no significant difference between two groups（ P〈0. 05）. Observation group of patients with adverse reaction rate was 30%,patients in the control group was 64%,there were significant differences（ P〈0. 05）. Conclusions The analgesic effect of sufentanil for CSEA is extremely ideal,can effectively relieve postoperative pain,to avoid the occurrence of nerve block.