摘要
目的研究静脉术后镇痛与临床麻醉中舒芬太尼的应用效果。方法选取2017年9月—2019年1月间在该院行外科手术治疗的140例患者作为主要观察对象,分为对照组和观察组。对照组患者术中给予芬太尼,观察组患者术中给予舒芬太尼,对比两组患者术后不同时间段的VAS评分、Ramsay镇痛评分、恢复自主呼吸时间和清醒时间、不良反应发生率。结果两组患者在术后3 h、12 h和24 h时的VAS评分均,差异无统计学意义(t=0.204、0.836、1.691,P>0.05)。两组患者在术后3 h、12 h和24 h时的Ramsay镇痛评分均无明显差异,差异无统计学意义(t=0.220、0.181、0.378,P>0.05)。观察组患者恢复自主呼吸时间、清醒时间依次是(9.64±2.85)min、(28.56±8.15)min,明显短于对照组的(13.21±3.72)min、(38.51±10.73)min,差异有统计学意义(t=6.552、6.178,P<0.05),且观察组患者不良反应发生率是5.7%,明显低于对照组的22.9%,差异有统计学意义(χ2=8.400,P=0.004)。结论在临床麻醉和术后镇痛中,应用舒芬太尼,能够达到麻醉及镇痛效果,但舒芬太尼术后苏醒期较短,患者术后最安全有效,减少对患者的不良影响,有利于患者术后身体恢复。值得在临床中推广应用。
Objective To study the analgesic effect after intravenous analgesia and the application effect of sufentanil in clinical anesthesia.Methods 140 patients who underwent surgical treatment in the hospital from September 2017 to January 2019 were selected as the main subjects and divided into control group and observation group.In the control group,fentanyl was given intraoperatively,and the patients in the observation group were given sufentanil.The VAS score,Ramsay analgesia score,recovery of spontaneous breathing time and waking time,and adverse reactions incidence were compared between the two groups.Results There were no significant differences in VAS scores between the two groups at 3 h,12 h,and 24 h,the difference was not statistically significant(t=0.204,0.836,1.691,P>0.05).There were no significant differences in Ramsay analgesia scores between the two groups at 3 h,12 h,and 24 h,the difference was not statistically significant(t=0.220,0.181,0.378,P>0.05).The time of spontaneous breathing and waking time of the observation group were(9.64±2.85)min,(28.56±8.15)min,which was significantly shorter than that of the control group(13.21±3.72)min,(38.51±10.73)min,and the difference was statistically significant(t=6.552,6.178,P<0.05),and the incidence of adverse reactions was 5.7%in the observation group,which was significantly lower than 22.9%in the control group,and the difference was statistically significant significant(χ2=8.400,P=0.004).Conclusion Sufentanil can achieve anesthesia and analgesic effect in clinical anesthesia and postoperative analgesia.However,sufentanil has a shorter recovery period and is safer and more effective after surgery.The effect is beneficial to the patient's postoperative recovery.It is worth promoting in clinical practice.
作者
张伟
ZHANG Wei(Department of Anesthesiology,Yanzhou District People's Hospital,Jining,Shandong Province,272100 China)
出处
《系统医学》
2019年第22期10-12,共3页
Systems Medicine
关键词
临床麻醉
术后镇痛
舒芬太尼
芬太尼
患者自控镇痛
Clinical anesthesia
Postoperative analgesia
Sufentanil
Fentanyl
Patient-controlled analgesia
