喷他佐辛和舒芬太尼用于妇科腹腔镜术后静脉自控镇痛的效价对比

Effect and Safety Comparative Observation of Intravenous Patient-Controlled Analgesia with Pentazocine and Sufentanil after Gynecological Laparoscopic Surgery

目的 探讨妇科腹腔镜术后镇痛中采用喷他佐辛和舒芬太尼的效果和价值。方法 选取2020年10月—2023年2月在本院接受妇科腹腔镜手术的60例患者为研究对象,采取随机数字表法将其分对照组和观察组,每组各30例。对照组实施舒芬太尼镇痛,观察组实施喷他佐辛镇痛。统计不良反应发生率,并就不同时间点疼痛程度、镇静状态进行评价,并记录PCA按压次数。结果 观察组术后2h、6h、12h、24h、48h疼痛程度低于对照组(P<0.05);观察组术后2h、6h、12h、24h、48h镇静效果评分较对照组高,差异显著有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05);观察组记录的PCA按压总次数、按压有效次数低于对照组(P<0.05)。结论 在妇科腹腔镜术后应用喷他佐辛进行镇痛可提高镇痛效果及安全性,亦可减少PCA按压次数。

Objective To explore value of pentazocine and sufentanil in postoperative analgesia after gynecological laparoscopic surgery.Methods The paper chose 60 patients with gynecological laparoscopic surgery in our hospital from October 2020 to February 2023,and divided them into two groups randomly with an Excel spreadsheet.30 cases in control group were treated with sufentanil analgesia,and 30 cases in observation group with pentazocine analgesia.Incidence of adverse reactions was calculated,degree of pain and sedation at different time points was evaluated,number of PCA compressions was recorded.Results Pain level in observation group was lower than control group at 2,6,12,24,and 48 hours after surgery(P<0.05).There was significant difference in sedative effect between observation group and control group at 2,6,12,24,and 48 hours after surgery(P<0.05).Incidence of adverse reactions in observation group was lower than control group,difference was statistically significant(P<0.05).Total number of PCA compressions and effective compressions in observation group were lower than control group(P<0.05).Conclusion Pentazocine can improve analgesic effect and safety,reduce number of PCA compressions during analgesia after gynecological laparoscopic surgery.