摘要
目的探讨氟比洛芬酯复合舒芬太尼用于老年腹部手术后镇痛的有效性与用法。方法择期老年腹部手术患者76例，随机分成4组，B、C、D组于切皮前静脉滴注氟比洛芬酯100mg，A、B、C、D组PCIA配方分别是舒芬太尼0．5、1、1．5、2μg·kg^-1，加入氟比洛芬酯2mg·kg^-1、托烷司琼5mg，记录各时间点VAS、Ramsay评分和按压次数。结果B、C、D组VAS评分较A组低，C、D组VAS评分较B组低。A组Ramsay评分较C、D组高，B组Ramsay镇静评分较C、D组升高。A、B组按压次数较C、D组增多，B、C组满意率较A、D组高。结论术前给予氟比洛芬酯具有预先镇痛效果，PCIA配方以C组为宜。
Objective To explore the efficacy and methods of flurbiprofen axetil combined with sufentanil for postoperative analgesia in elderly patients with abdominal surgery. Methods Seventy- six patients underwent abdominal surgery were randomly divided into four groups. Group B, C and D received 100 mg flurbiprofen axetil before skin incision. The PCIA prescriptions were sufentanil 0.5, 1, 1.5 and 2μg·kg^-1 respectively, adding flurbiprofen axetil 2 mg·kg^-1 and tropisetron 5 mg in group A, B, C and D. VAS, Ramsay scores and press times were recorded. Results Compared with group A, VAS was low in group B,C and D. Compared with group B, VAS was low in group C and D. Ramsay sedation scores in group A were higher than that in group C and D. Ramsay sedation scores in group B were higher than that in group C and D. The press times in group A and B were higher than that in group C and D. Compared with group A and D, the satisfaction rates were high in group B and C. Conclusion Flurbiprofen axetil injection can produce pre-emptive analgesia effect and the analgesic effect in group C is better than that in the other groups.
出处
《实用疼痛学杂志》
2012年第6期436-438,共3页
Pain Clinic Journal
