[1]郭剑波.酒石酸布托啡诺、氟比洛芬酯、芬太尼联合异丙酚镇痛镇静对ICU内机械通气患者的疗效比较[J].医学信息,2018,31(04):130-131.[doi:10.3969/j.issn.1006-1959.2018.04.046]
　GUO Jian-Bo.Comparison of Analgesic Effects of Butorphanol Tartrate Flurbiprofen and Fentanyl Combined with Propofol in Patients undergoing Mechanical Ventilation in ICU[J].Journal of Medical Information,2018,31(04):130-131.[doi:10.3969/j.issn.1006-1959.2018.04.046]
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酒石酸布托啡诺、氟比洛芬酯、芬太尼联合异丙酚镇痛镇静对ICU内机械通气患者的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年04期
页码:
130-131
栏目:
药物与临床
出版日期:
2018-02-15

文章信息/Info

Title:
Comparison of Analgesic Effects of Butorphanol Tartrate Flurbiprofen and Fentanyl Combined with Propofol in Patients undergoing Mechanical Ventilation in ICU
文章编号:
1006-1959（2018）04-0130-02
作者:
郭剑波
湖北省襄阳市襄州区人民医院重症ICU，湖北 襄阳 441001
Author(s):
GUO Jian-Bo
Department of Severe ICU,Xiangzhou People's Hospital,Xiangyang 441001,Hubei,China
关键词:
ICU; 机械通气; 异丙酚; 酒石酸布托啡诺; 氟比洛芬酯; 芬太尼
Keywords:
Key words：ICU; Mechanical ventilation; Propofol; Butorphanol tartrate; Flurbiprofen; Fentanyl
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2018.04.046
文献标志码:
A
摘要:
目的 研究ICU内机械通气患者酒石酸布托啡诺、氟比洛芬酯、芬太尼联合异丙酚镇痛镇静疗效比较。方法 选取2015年5月~2017年5月在我院ICU病房接受机械通气治疗的135例患者，将患者随机分三组，各组45例，A组酒石酸布托啡诺+异丙酚，B组氟比洛芬酯+异丙酚，C组芬太尼+异丙酚，比较组间生命体征指标及镇痛、镇静评分。结果 A、B组用药后1 h及2 h的HR、RR、MAP均比C组低(P＜0.05)；A组FPS评分、Ramsay评分分较B组、C组低，差异有统计学意义(P＜0.05)。结论 联合应用酒石酸布托啡诺、异丙酚可有效稳定ICU机械通气患者生命体体征。
Abstract:
Abstract：Objective To compare the analgesic and sedative effects of butorphanol tartrate flurbiprofen and fentanyl combined with propofol in patients undergoing mechanical ventilation in ICU.Methods From May 2015 to May 2017,135 patients who received mechanical ventilation in our ICU ward were randomly divided into three groups,45 patients in each group.Group A:Butorphanol tartrate+Propofol;Group B:Flurbiprofen axetil+Propofol;Group C:Fentanyl+Propofol;Vital signs,sedation and sedation scores were compared among groups.Results The HR,RR and MAP of group A and group B were lower than those of group C at 1 h and 2 h(P<0.05).The scores of FPS and Ramsay in group A were lower than those in group B and group C,the difference was statistically significant(P<0.05).Conclusion The combination of butorphanol tartrate and propofol can effectively stabilize the vital signs of ICU patients with mechanical ventilation.

参考文献/References:

[1]彭丽岚,余道志,蒋菊琴,等.咪达唑仑联合瑞芬太尼用于重症加强护理病房机械通气患者镇静的疗效观察[J].中国医院用药评价与分析,2017,17(5):643-645.
[2]冉群英,万再军,杨伟,等.不同镇静深度对重症监护病房机械通气患者预后的影响[J].中国现代医学杂志,2016,26(9):128-130.
[3]宋苗苗,赵瑞祯,翁浩,等.右美托咪定联合丙泊酚全凭静脉麻醉在腹部手术中的应用[J].现代中西医结合杂志,2016,25(2):202-204.
[4]胡向东,郝伟,铁木尔.酒石酸布托啡诺临床应用新进展[J]. 内蒙古医科大学学报,2012(s6):988-990.

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更新日期/Last Update: 2018-02-15