摘要
目的：观察芬太尼在开胸手术后病人自控静脉镇痛中的镇痛效果及副反应情况。方法：60例ASAⅠ-Ⅱ级择期开胸手术病人,随机分为芬太尼组和对照组,芬太尼组术后行自控静脉镇痛,镇痛药物为芬太尼10μg/mL,对照组根据患者要求肌注盐酸哌替啶50mg。记录比较镇痛效果、副反应及生命体征情况。结果：芬太尼组可获得有效的镇痛效果,VAS评分F组显著低于对照组,（P〈0.05）。对照组副反应较多,恶心发生率最高（8例）。结论：芬太尼在开胸手术后病人自控静脉镇痛有确切的镇痛效果,镇痛安全确切,而且副反应较少,能够在术后镇痛方面得到更广泛地应用。
Objective： To investigate analgesic effect and side reaction of fentany on patients self-controlled intravenous analgesia after the thoracic surgical. Methods： 60 cases with ASA class Ⅰ- Ⅱ undergoing thoracic surgery were randomly divided into fentanyl group and the control group. The patients in fentanyl group were treated with postoperative patient self-controlled intravenous analgesia while the analgesic drug fentanyl was 10μg/mL. The patients in control group were administrated with intramuscular pethidine 50 mg hydrochloride. The analgesic effect and the vital signs of reaction were recorded and compared. Results： Patients in fentanyl group had got more effective analgesic effect. VAS score for Group F was significantly lower than that of control group （P〈0.05）. More side reaction and nausea happened in control group （8 cases）. Conclusion： Fentanyl in patients self controlled intravenous analgesia after thoracis surgery has precise analgesic effect with les, vice reaction, and can be widely used.
出处
《河北北方学院学报（医学版）》
2008年第2期24-25,共2页
Journal of Hebei North University:Medical Edition
关键词
镇痛/病人控制
芬太尼
哌替啶
Analgesia/Patient self controlled
Fentanyl
Meperidine
