氯诺昔康复合芬太尼用于高龄患者术后镇痛的临床观察  

Feasibility of lornoxicam used in postoperative analgesia in aged-patients

作　　者：张丹琦[1] 刘丕弘[1] 孙莹[1] 张怡[1] 

机构地区：[1]哈尔滨市黑龙江中医药大学附属第一医院麻醉科,150040

出　　处：《实用疼痛学杂志》2008年第6期413-414,共2页Pain Clinic Journal

摘　　要：目的探讨氯诺昔康在高龄患者术后静脉镇痛(PCIA)的可行性。方法76例年龄大于70岁的术后患者随机分为观察组和对照组。观察组38例,以氯诺昔康32 mg复合芬太尼300μg;对照组38例,以曲马朵700 mg复合芬太尼300μg,两组均配制成100 ml,使用一次性机械泵,2 ml/h注入,0.5 ml/(次·15 min)。记录术后4、8、12、24 h的镇痛效果,观察VAS评分和有无不良反映。结果观察组镇痛效果优于对照组,在术后24 h VAS评分降至0～1,且未见不良反应。结论氯诺昔康复合芬太尼用于高龄患者术后镇痛效果良好且具有安全性。Objective To study the feasibility of lornoxicam used in PCIA in aged-patients. Methods Seventy-six postoperative patients aged over 70 were randomly divided into two groups as observation group and controlled group,38cases in each. Lornoxicam 32 mg and fentanyl 300 mg was given in observation group, while tramadol 700rag and fentanyl 300 mg in the controlled group dissolved into 100 ml respectively,2 ml/h,0.5 ml/time · 15 rain. The analgesic effects,VAS and adverse reactions were observed at the time point 4 h,8 h, 12 h,24 h, after oprations. Results The analgeisc effects of observation group was better than that of the controlled group. There were no adverse effects in the observation group. Conclusion The use of lornoxicam and fentanyl during postoperative analgesia in aged-patients is effective and safety.

关 键 词：氯诺昔康 高龄患者 疼痛 手术后 镇痛 患者控制 

分 类 号：R614[医药卫生—麻醉学]