摘要
目的:分析舒芬太尼联合地佐辛用于脊柱手术后静脉自控镇痛(patient-controlled intravenous analgesia, PCIA)的临床效果。方法:2013年12月至2017年8月,于我院择期行全麻脊柱内固定术的患者中选取20例,根据随机数字表法,分为两组,每组10例,术后均行PCIA,对照组仅应用舒芬太尼,观察组联合应用舒芬太尼与地佐辛,对比两组术后不同时期的Ramsay评分、BCS评分、VAS评分与不良反应发生情况。结果:与对照组对比,观察组患者术后3h、6h、12h、24h的Ramsay评分均更高,VAS评分均更低,P<0.05;两组术后3h、6h、12h、24h、48hBCS评分均不存在显著差异,P>0.05;观察组术后不良反应发生率低于对照组,P<0.05。结论:舒芬太尼联合地佐辛用于脊柱手术后PCIA的镇静、镇痛效果显著。
Objective:To analyze the clinical effect of sufentanil combined with dextrozine for PCIA after spinal surgery.Methods:Select in December 2013 to August 2017 in our hospital during the period of general anesthesia and spinal internal fixation of 20 patients,20 patients were divided into two groups,each group of 10 patients,were performed after the operation the patient controlled analgesia vein,the control group only application sufentanil,observation group application sufentanil combined with sheen,compared two groups of different periods after Ramsay score,BCS scores,VAS score and adverse reactions occur.Results:Compared with the control group,the Ramsay scores of patients in the observation group were higher and VAS scores were lower(P<0.05)at 3 h,6 h,12 h and 24 h postoperatively;there was no significant difference in BCS scores of patients in the two groups at 3 h,6 h,12 h,24 h and 48 h postoperatively(P>0.05);the incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion:Sufentanil combined with dizosin is effective in sedation and analgesia of PCIA after spinal surgery.
作者
邱卫华
王游
周同伟
QIU Wei-hua;WANG You;ZHOU Tong-wei(Department of Anesthesiology,Leping Hospital of Traditional Chinese Medicine,Jingdezhen Jiangxi 333300,China)
出处
《药品评价》
CAS
2019年第16期64-65,共2页
Drug Evaluation
关键词
舒芬太尼
地佐辛
脊柱手术
静脉自控镇痛
Sufentanil
Dizocine
Spinal Surgery
Intravenous Controlled Analgesia
