[1]张 燕,王永娟.舒芬太尼复合地佐辛用于痔上黏膜环切术后自控镇痛的剂量分析[J].医学信息,2019,32(04):140-141.[doi:10.3969/j.issn.1006-1959.2019.04.045]
 ZHANG Yan,WANG Yong-juan.Dose Analysis of Sufentanil Combined with Dizocine for Self-controlled Analgesia after Supraorbital Mucosal Circumcision[J].Journal of Medical Information,2019,32(04):140-141.[doi:10.3969/j.issn.1006-1959.2019.04.045]
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舒芬太尼复合地佐辛用于痔上黏膜环切术后自控镇痛的剂量分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年04期
页码:
140-141
栏目:
药物与临床
出版日期:
2019-02-15

文章信息/Info

Title:
Dose Analysis of Sufentanil Combined with Dizocine for Self-controlled Analgesia after Supraorbital Mucosal Circumcision
文章编号:
1006-1959(2019)04-0140-02
作者:
张 燕1王永娟2
(天津市津南区小站医院麻醉科1,手术室2,天津 300353)
Author(s):
ZHANG Yan1WANG Yong-juan2
(Department of Anesthesiology1,Operating Room2,Xiaozhan Hospital,Jinnan District,Tianjin 300353,China)
关键词:
痔上黏膜环切术自控镇痛舒芬太尼地佐辛剂量
Keywords:
Supraorbital mucosal circumcisionSelf-controlled analgesiaSufentanilDizocineDose
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2019.04.045
文献标志码:
A
摘要:
目的 探讨不同剂量舒芬太尼复合地佐辛用于痔上黏膜环切术后自控镇痛对镇静效果及疼痛程度的影响。方法 选择2015年7月~2018年6月在我院行痔上黏膜环切术治疗的96例患者,随机分为观察组和对照组,各48例。观察组给予1.5 μg/kg舒芬太尼复合0.3 mg/kg地佐辛,对照组给予2 μg/kg舒芬太尼。比较两组镇静评分及术后疼痛程度。结果 观察组术后6、12、24及48 h镇静评分分别为(2.10±0.15)分、(2.42±0.19)分、(3.05±0.20)分及(3.96±0.45)分,均高于对照组的(1.38±0.18)分、(2.05±0.16)分、(2.56±0.22)分及(3.18±0.23)分,术后6、12、24及48 h疼痛评分分别为(6.59±0.96)分、(4.24±1.53)分、(2.02±1.26)分及(0.95±0.36)分,均低于对照组的(8.23±1.14)分、(6.18±1.22)分、(4.63±1.37)分及(2.48±1.19)分,差异具有统计学意义(P<0.05)。结论 痔上黏膜环切术患者术后自控镇痛中采取舒芬太尼复合地佐辛镇痛效果理想,利于降低患者疼痛程度,促进患者康复。
Abstract:
Objective To investigate the effects of different doses of sufentanil combined with dizocine on the sedative effect and pain degree of self-controlled analgesia after supraorbital mucosal circumcision. Methods 96 patients who underwent sacral circumcision in our hospital from July 2015 to June 2018 were randomly divided into observation group and control group, 48 cases each. The observation group was given 1.5 μg/kg sufentanil combined with 0.3 mg/kg dysone, and the control group was given 2 μg/kg sufentanil. The sedation scores and postoperative pain levels were compared between the two groups. Results The sedation scores of the observation group at (2.10±0.15), (2.42±0.19), (3.05±0.20) and (3.96±0.45) were higher than those of the control group at 6, 12, 24 and 48 h after operation(1.38±0.18), (2.05±0.16), (2.56±0.22) and (3.18±0.23), the pain scores at 6, 12, 24 and 48 h were (6.59±0.96),(4.24±1.53), (2.02±1.26) and (0.95±0.36), respectively, All were lower than the control group (8.23±1.14), (6.18±1.22), (4.63±1.37) and (2.48±1.19), the difference was statistically significant (P<0.05). Conclusion Sufentanil combined with dextrozine is effective in the postoperative analgesia of patients with supraorbital mucosa. It is beneficial to reduce the pain level and promote the recovery of patients.

参考文献/References:


[1]白金权,李柏文.吻合器痔上黏膜环形切除术治疗老年中重度内痔的临床效果[J].中国老年学杂志,2017,37(23):5904-5905.
[2]姚活锋,黄焕森.痔上黏膜环切吻合术麻醉方式的新探讨[J].实用医学杂志,2017,33(20):3441-3444.
[3]袁建虎,张旭光.酮咯酸氨丁三醇与氟比洛芬酯联合舒芬太尼用于痔上黏膜环切术后自控静脉镇痛的对比观察[J].中国医刊,2016,51(4):92-94.
[4]谢浩亮,余栋栽.吻合器痔上黏膜环形切除术对重度痔疮患者疼痛应激与肛肠动力学的影响观察[J].安徽医药,2018,22(10):1929-1932.
[5]卜会敏,田晓鹏,刘金山,等.小剂量布比卡因复合舒芬太尼蛛网膜下腔麻醉在吻合器痔上黏膜环切术中的应用[J].山东大学学报(医学版),2017,55(3):117-120,126.
[6]崔艳苓,耿立成.右美托咪定复合芬太尼用于痔术后自控镇痛[J].中国中西医结合外科杂志,2014,20(3):264-266.
[7]王建宇,薛华,张梅.舒芬太尼复合地佐辛用于痔上黏膜环切术后自控镇痛的剂量研究[J].当代医学,2018,24(17):27-30.
[8]郑新华,段海萍,梅伟,等.地佐辛超前自控静脉镇痛用于骶管麻醉下吻合器痔上黏膜环切术的临床观察[J].中国医院药学杂志,2015,35(16):1482-1484.

更新日期/Last Update: 2019-03-07