纳布啡联合舒芬太尼用于剖宫产术后患者静脉自控镇痛的效果

Effects of Nabufen Combined with Sufentanil on Patient-controlled Intravenous Analgesia after Cesarean Section

目的探讨纳布啡联合舒芬太尼用于剖宫产术后患者静脉自控镇痛(PCIA)的效果。方法选取2018年8月至2019年6月河源市人民医院收治的93例行剖宫产术产妇作为研究对象,采用随机数字表法将其分为观察组(n=43)和对照组(n=50),术后分别采用纳布啡联合舒芬太尼、舒芬太尼行PCIA,比较两组产妇术后视觉模拟评分法(VAS)、Ramsay镇静评分、不良反应发生率、PCIA实际按压次数及满意度。结果观察组产妇术后VAS评分、PCIA实际按压次数均明显低于对照组(P<0.05),Ramsay评分、术后满意度均明显高于对照组(P<0.05);观察组不良反应发生率为2.33%,显著低于对照组的16.00%(χ2=4.95,P=0.03)。结论纳布啡联合舒芬太尼镇痛效果优于舒芬太尼,且不良反应少,患者满意度高。

Objective To explore the effects of Nabufen combined with Sufentanil on patient-controlled intravenous analgesia(PCIA) after cesarean section. Methods A total of 93 cases of patients undergoing cesarean section in Heyuan People’s Hospital from August 2018 to June 2019 were selected as the research objects. They were divided into observation group(n=43) and control group(n=50) by random number table method. After operation, Nabufen combined with sufentanil and sufentanil PCIA were used for PCIA respectively. Visual analogue evaluation(VAS) after operation, Ramsay sedation score, incidence of adverse reactions, actual pressing times of PCIA and satisfaction were compared between the 2 groups. Results The VAS score and the actual number of PCIA compressions in the observation group were significantly lower than those in the control group(P<0.05). The Ramsay score and postoperative satisfaction were significantly higher than the control group(P<0.05), and the incidence of adverse reactions in the observation group was was 2.33%, which was significantly lower than the control group of 16.00%(χ2=4.95, P=0.03). Conclusion The analgesic effects of Nabufen combined with Sufentanil are better than that of Sufentanil, with fewer adverse reactions and higher patient satisfaction.