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时间:2020-04-21
《地佐辛预防瑞芬太尼复合麻醉患者术后痛觉过敏的效果-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、麻醉与镇痛,·十一玉药斜等2014~9YJ第4卷第17期地佐辛预防瑞芬太尼复合麻醉患者术后痛觉过敏的效果周红艳湖北省崇阳县人民医院麻醉科,湖北崇阳437500【摘要】目的探讨地佐辛预防瑞芬太尼复合麻醉患者术后痛觉过敏的临床效果。方法收集2011年10月~2012年10月于我院行腹部手术ASAI~Ⅱ级患者72例,随机分为观察组与对照组各36例。两组患者均给予静脉复合麻醉,手术中持续微泵泵入丙泊酚与瑞芬太尼,并间断注射维库澳铵维持麻醉,观察组于手术结束前给予地佐辛预防术后痛觉过敏,对照组不给予地佐辛。比较两组患者术后拔管时间、自主呼吸及意识恢复时间,并比较术后疼痛评分。结果观察组
2、患者在自主呼吸恢复时间、意识恢复时间、拔除气管导管时间为(6.27±2.62)min、(8.34±2.43)rain、(9.38±3.08)min与对照组(5.89±2.21)min、(8.16±2.10)min、(9.21±3.12)min相比较差异无统计学意义(P>0.05o观察组33例患者VRS评分为0分,对照组0例患者VRS评分为0分,两组比较差异具有统计学意义(t=l1.53,P<0.05o结论地佐辛在预防瑞芬太尼复合麻醉患者术后痛觉过敏方面效果明显,可有效减轻患者疼痛感,利于术后恢复,值得临床推广。【关键词】地佐辛;瑞芬太尼复合麻醉;痛觉过敏;预防效果【中图分类号
3、】R614【文献标识码】B【文章编号】2095—0616(2014)17—94—03EffectsofdezocineonpreventingpostoperativehyperpathiainpatientsreceivingremifentanilcombinedanesthesiaZHOUHongyanDepartmentofAnesthesiology,ChongyangPeople’SHospital,Chongyang437500,China[Abstract]0bjectiveToinvestigatetheclinicaleffectsofdezocinein
4、preventingpostoperativehyperalgesiainthepatientsreceivingremifentanilcombinedanesthesia.MethodsSeventy—twopatientswithASAI-I1whoreceivedabdominalsurgeryinourhospitalfromOctober2011toOctober2012werecollectedandrandomlydividedintotheobservationgroupandthecontrolgroup,with36patientsineachgroup
5、.Bothgroupsweregivenintravenouscombinedanesthesia,intraoperativecontinuousmicropumpingofpropofolandremifentanilandintermittentinjectionofvecuroniumbromideinordertomaintainanesthesia.Theobservationgroupwasgivendezocinebeforetheendofsurgerytopreventpostoperativehyperpathiaandthecontrolgroupwa
6、snotgivendezocine.Thepostoperativeextubationtime,autonomousrespirationtime,consciousnessrecoverytimeandpainscoresofthetwogroupswerecompared.ResultsTheautonomousrespirationtime,consciousnessrecoverytimeandextubationtimeoftheobservationgroupwere(6.27±2.62)minutes,(8.34±2.43)minutesand(9.38±3.
7、08)minutes,whichweresignificantlydifferentfromthe(5.89±2.21)minutes,(8.16±2.1O)minutesand(9.21±3.12)minutesofthecontrolgroup(尸>0.05).Thirty-threepatientsoftheobservationgrouphadaVRSscoreof0andnoneofthecontrolgrouphadaVRSscoreof0,withstatisticallysignific
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