欢迎来到天天文库
浏览记录
ID:58066884
大小:286.54 KB
页数:4页
时间:2020-04-21
《地佐辛复合舒芬太尼用于老年胃肠道肿瘤根治术患者术后静脉自控镇痛的临床效果-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、2014年第l8卷第15期实用临床医药杂志JournalofCIinicalMedicineinPractice·35·地佐辛复合舒芬太尼用于老年胃肠道肿瘤根治术患者术后静脉自控镇痛的临床效果刘泽文,严国胜,刘会长(湖北省鄂州市中心医院麻醉手术科,湖北鄂州,436000)摘要:目的观察地佐辛联合舒芬太尼用于老年胃肠道肿瘤根治术后静脉自控镇痛的镇痛效应及其不良反应。方法选择60例ASAI~Ⅱ级择期行胃肠道肿瘤开腹根治手术的老年患者,随机分为地佐辛复合舒芬太尼组(SD组)和舒芬太尼组(s组),每组30例。持续监测血压、心率、呼吸频率、SpO2;记录术后4、8、16、2
2、4、48h各时点安静和90。翻身运动时的VAS评分和镇静Ramsay评分;记录患者的镇痛满意度评价以及镇痛期间不良反应的发生情况。结果2组术后各时点安静状态下VAS评分及Ramsay镇静评分差异均无统计学意义(P>O.05);翻身运动时SD组各时点VAS评分均低于s组(P<0.05);SD组恶心、呕吐、头晕和寒战的发生率明显低于s组(P<0.05)。结论地佐辛复合舒芬太尼用于胃肠道肿瘤根治术后静脉自控镇痛对运动痛的镇痛效果优于单用舒芬太尼,且可降低术后恶心、呕吐等不良反应的发生,值得I临床推广使用。关键词:地佐辛;舒芬太尼;老年;胃肠道肿瘤根治术;静脉自控镇痛中图
3、分类号:R735.2文献标志码:A文章编号:1672—2353(2014)15—035—03I3(3I:10.7619~cmp.201415011ClinicaleffectofdezocinecombinedwithSUfentanilonpostoperativeanalgesiainelderlypatientswithradicalresectionofgastroenterictumorLIUZewen,YANGuosheng,LIUHuizhang(DepartmentofAnesthesiology,EzhouCentralHospital,Ezho
4、u,Hubei,436000)ABSTRACT:ObiectiveToexploretheeffectandsideeffectsofdezocinecombinedwithsufentanilinpatient—controlledintravenousanalgesia(PCIA)ofelderlypatientswithradicalreset—tionofgastroenterictumor.Methods60elderlypatientswithselectiveradicaloperationforgas—troenterictumorwererand
5、omlydividedintodezocinecombinedwithsufentanilgroup(groupDS,=30)andsufentanilgroup(groupS,7z=30).Continuousmonitoringwasusedtorecordbloodpressure,heartrate,respiratoryrateandSp02,theVASscoresduringbothsilenceand90。turnoversituationwererecorded,andRamsayscoresat4,8,16,24and48hoursaftero
6、perationaswellastheadversereactionswerecompared.ResultsTherewerenosignificantdifferencesofRamsayscoreandVASpainduringsilencebetweentwogroups,buttherewasasignificantdiffer—enceofVASpainunderturn—oversituationbetweentwogroups(P<0.05).IngroupSD,thein—cidenceratesofsideeffectssuchasnausea
7、,vomiting,dizzinessandshiveringweresignificantlylow—erthanthoseingroupS(P8、sufen
8、sufen
此文档下载收益归作者所有