舒芬太尼超前应用对瑞芬太尼全麻术后痛觉过敏的作用观察被引量：4

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摘要目的观察舒芬太尼超前应用对瑞芬太尼全麻手术后痛觉过敏的作用。方法将全麻下行下肢骨折手术患者90例随机分为A、B、C 3组,A组手术切皮前静脉注射舒芬太尼;B组手术给予相等毫升数的生理盐水;C组术前静脉注射舒芬太尼。比较3组患者的麻醉情况和苏醒情况。结果 A、C组术后0.5h躁动评分显著低于B组(P<0.05),C组略低于A组;A、C组术后2h疼痛视觉模拟评分法(VAS)评分显著低于B组,C组低于A组(P<0.05);3组患者手术后血压、心率、血氧饱和度、拔管时间比较无明显差异(P>0.05)。结论患者在手术切皮前静脉注射舒芬太尼能有效抑制瑞芬太尼产生的手术后痛觉过敏,可有效降低患者手术后的躁动情况和疼痛感,值得临床推广应用。

作者夏云杰

机构地区鄢陵县人民医院

出处《基层医学论坛》 2016年第24期3363-3365,共3页 The Medical Forum

关键词超前镇痛痛觉过敏舒芬太尼瑞芬太尼

分类号 R614.2 [医药卫生—麻醉学]

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