氢吗啡酮与舒芬太尼用于骨科手术后自控静脉镇痛中的效果比较

Effect Comparison of Hydromorphone and Sufentanil in Postoperative Patient Controlled Intravenous Analgesia of Orthopedic Department

目的 比较舒芬太尼与氢吗啡酮在骨科手术后自控静脉镇痛的效果。方法 选择2020年1~7月于广东省江门市五邑中医院接受骨科手术的患者80例进行研究,采取随机数字表法分为对照组与研究组,各40例,对照组在术后镇痛时使用舒芬太尼,研究组使用氢吗啡酮,记录两组患者用药后情况,比较两组患者的镇痛效果。结果 相较于对照组,研究组VAS评分更低,而Ramsay评分更高;对照组的不良反应发生率为32.5%,而研究组为12.5%,差异有统计学意义(P<0.05)。结论 在骨科手术后,应用氢吗啡酮进行自控静脉镇痛所获取的镇痛效果比舒芬太尼要好,能更好地降低患者疼痛感。

Objective To compare effect of sufentanil and hydromorphone on postoperative patient controlled intravenous analgesia of orthopedic patients.Methods The paper chose 80 patients with orthopedic surgery in our hospital from January 2020 to July 2020 for study,and divided them into control group and study group with random digital table method,40 cases in control group and study group.Control group was treated with sufentanil during postoperative analgesia,and study group with hydromorphone.Postoperative situation of two groups was recordd,and analgesic effect was compared between two groups.Results VAS scores in study group were lower than control group,and Ramsay scores were higher;incidence of adverse reactions in control group was 32.5%,while that of study group was 12.5%,difference was statistically significant (P<0.05).Conclusion After orthopedic surgery,hydromorphone can achieve better analgesic effect than sufentanil during patient controlled intravenous analgesia,which can reduce pain feeling of patients better.