摘要
目的:分析剖宫产术后加酒石酸布托啡诺镇痛对舒芬太尼剂量的影响。方法:选取笔者医院行剖宫产的足月待产孕妇(100例),行腰麻。根据术后镇痛方案不同用双盲法分为A组(舒芬太尼、昂丹琼斯),B组(酒石酸布托啡诺、舒芬太尼、昂丹琼斯),对比镇痛4h、12h、24h、48h视觉模拟疼痛评分(VAS)分值、呼吸频率(RR)、心率(HR)、平均动脉压(MAP),以及各时间段自控给药次数和不良反应发生率。结果:两组患者自控镇痛4h、12h、24h、48h时VAS评分及RR、HR、MAP均无显著差异,P均>0.05。B组0~4h及25~48h时给药次数较A组少,P均<0.05;B组不良反应发生率(12.00%)较A组(26.00%)低,P均<0.05。结论:剖宫产术后镇痛加酒石酸布托啡诺能减少舒芬太尼用量和给药次数,从而减少不良反应。
Objective:To analyse the cesarean section with tartaric acid brown bhutto’s analgesic effect of sufentanil doses.Line selection method the author hospital cesarean delivery term for the delivery of the pregnant women(30cases),lumbar hemp lines.According to different postoperative analgesia scheme with double blind method were divided into group A(sufentanil,the Dan Jones),group B(tartaric acid brown bhutto,sufentanil,Leon Dan Jones),compare the analgesic 4h,12 h,24h,48 hvisual analog pain score(VAS)score,breathing rate(RR),heart rate(HR),mean arterial pressure(MAP),and each time dosing frequency and incidence of adverse reactions.Result:Two groups of patient controlled analgesia 4h,12 h,24h,48 hVAS score and RR,HR and MAP were no significant difference,P>0.05).B group of 0~4h and 25~48h dosing times is relatively less in group A,P<0.05;Group B incidence of adverse reactions(12.00%)was lower than those of group A(26.00%),P<0.05).Conclusion:Analgesia after cesarean section and tartaric acid bhutto coffee can reduce the dosage of sufentanil and dosing frequency,so as to reduce adverse reactions.
出处
《健康之路》
2017年第8期35-36,共2页
Health Way
关键词
剖宫产
舒芬太尼
酒石酸布托啡诺
剂量
不良反应
Cesarean section
Sufentanil
Tartaric acid bhutto’s brown
Dose
Adverse reactions
