舒芬太尼超前镇痛在肛周手术患者中的应用效果观察

Effect of sufentanil preemptive analgesia in perianal surgery patients

目的探究舒芬太尼超前镇痛在肛周手术患者中的应用效果。方法选取本院2018年4月至2019年10月收治的80例行肛周手术治疗的患者,根据镇痛药物使用类型的不同分为研究组和对照组,每组40例。对照组应用罗呱卡因超前麻醉,研究组在对照组基础上联合应用舒芬太尼。两组术后均给予罗呱卡因+氟哌利多硬膜外自控镇痛(PCEA)。比较两组患者超前麻醉情况以及术后4、8、12、24 h镇痛效果。结果研究组麻醉起效时间、至最高麻醉平面时间均低于对照组(P<0.05),T10到达时间与对照组比较差异无统计学意义。研究组术后4、8、12、24 h NRS评分均低于对照组(P<0.05),且术后不同时间段BCS评分均高于对照组(P<0.05)。结论舒芬太尼超前镇痛在肛周手术患者中的应用效果明显,具有麻醉起效时间快,术后镇痛效果好等优点,且麻醉持续时间长,值得临床推广运用。

Objective To explore the effect of sufentanil preemptive analgesia in perianal operation patients.Methods 80 patients who received perianal operation from April 2018 to October 2019 in our hospital,they were divided into study group and control group according to different types of analgesic drug,with 40 cases in each group.The control group was anesthetized with ropivacaine in advance,and the study group was combined with sufentanil on the basis of the control group.Both groups were given ropivacaine+haloperidol epidural controlled analgesia(PCEA)after surgery.To compare the situation of advanced anesthesia and the analgesic effect of 4,8,12 and 24 h after operation between the two groups.Results The onset time and the time to the highest anesthesia plane of the study group were lower than those of the control group(P<0.05),there was no significant difference between the T10 Time of arrival and the control group.The NRS scores of the study group were lower than those of the control group at 4,8,12 and 24 h after operation,and the BCS scores of the study group were higher than those of the control group at different time periods(P<0.05).Conclusion Sufentanil has the advantages of fast onset time,good postoperative analgesia effect and long duration of anesthesia,which can be widely used in clinical practice.