摘要
目的观察普胸外科手术后舒芬太尼复合高乌甲素静脉镇痛的临床效果。方法 60例普胸外科手术后的病人分为3组(n=20):Ⅰ组舒芬太尼组,Ⅱ组高乌甲素组,Ⅲ组舒芬太尼复合高乌甲素组,观察术后疼痛、镇静、情绪、睡眠评分,监测BP、HR、RR、SPO2和不良反应,并记录镇痛泵输注情况及按压次数。结果 3组中镇静、睡眠质量、情绪及不良反应差异无统计学意义。Ⅰ组BP显著低于其他两组(P<0.05),Ⅱ组HR低于其他两组(P<0.05),Ⅲ组疼痛评分显著低于其他两组(P<0.05),PCIA泵按压次数Ⅲ组最少。结论普胸外科手术后舒芬太尼复合高乌甲素静脉镇痛效果更确切,安全系数更高。
Objective To discuss the general thoracic surgery after sufentanil Lappaconitine the clinical effects of intravenous analgesia.Methods 60 cases of general thoracic surgery patients were divided into three groups after the surgery（n=20）：Ⅰ sufentanil;Ⅱ Lappaconitine;Ⅲ sufentanil and Lappaconitine.The pain,sedation,mood,sleep,BP,HR,RR and SPO2 were observed.The analgesia pumps infusion conditions and the numbers of pressing were recorded.Results In the three groups,sedation,sleep quality,emotional and adverse reactions were no significant difference.BP of Ⅰ group was significantly lower than that of the other groups（P0.05）.HR of Ⅱ group was significantly lower than that of other groups（P0.05）.The painful score of Ⅲ group was significantly lower than that of the other groups（P0.05）.Conclusion After the surgery, general thoracic surgery sufentanil lappaconitine intravenous analgesic effect is more precise and higher safe.
出处
《西部医学》
2011年第10期1879-1880,1882,共3页
Medical Journal of West China
关键词
舒芬太尼
高乌甲素
胸科手术
静脉镇痛
Sufentanil
Lappaconitine
Thoracic surgery
Intravenous analgesic
