不同剂量舒芬太尼PCSA联合氯诺昔康对老年患者全髋置换术后镇痛效果的影响

The postoperative analgesic effect of treated 116 cases senile patients' total hip replacement by different dosage sulfentanyl PCSA combined with Lornoxicam

目的 :探讨不同剂量舒芬太尼PCSA联合氯诺昔康对老年患者全髋置换术后镇痛的影响效果。方法 :选择我科收治的116例老年全髋置换术患者,随机分为舒芬太尼PCSA联合氟诺昔康镇痛组(简称观察组),以及单纯使用舒芬太尼PCSA镇痛组(简称对照组),进而根据舒芬太尼不同剂量,又将观察组分为1组与2组,对照组1组与2组,每组各29例。观察各组患者不同时间段疼痛与镇静评分、生命体征以及患者的满意度、并发症情况。结果 :与观察2组比较,观察1组与对照1、2组的疼痛评分以及满意度评分均升高明显;观察1组的镇静评分、并发症发生率降低明显,而MAP升高明显,与对照2组比较,对照1组的镇静评分、并发症发生率降低明显,而MAP升高明显。结论 :在老年全髋置换术患者中应用舒芬太尼联合氟诺昔康不仅可加强术后镇痛效果,而且安全性较好,具有临床推广价值。

Objective To discuss the postoperative analgesic effect of treated 116 cases senile patients’ total hip replacement by different dosage sulfentanyl PCSA combined with Lornoxicam. Methods Selected 116 cases senile total hip replacement patients, randomly divided them into sulfentanyl PCSA combined with Lornoxicam group(short for observation group), and simple adopted sulfentanyl PCSA analgesic group(short for control group), and then according to sulfentanyl different dosage, divided observation and control group into first and second group, 29 cases in each group. At different time period, observed every group patients’ pain and sedation scores, vital sign and patient’s satisfaction, complications. Results Compared with second observation group, first observation group and two control group’s pain and satisfaction scores all obviously increased, MAP obviously increased, the differences had statistical differences; compared with second observation group, first observation group’s sedation scores, complication incidence rate obviously decrease, MAP obviously increased, the differences had statistical differences. Conclusion Senile patients’ total hip replacement adopted sulfentanyl combined with Lornoxicam not only can enhance the opstoperative analgesic effect after, but also have relatively better safety, worth to make clinical promotion.