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作 者:郭玉良[1] 孙永兴[1] 陈志勇[1] 梁轩[1] 李天佐[1]
机构地区:[1]首都医科大学附属北京同仁医院麻醉科,北京100730
出 处:《中国医药导刊》2011年第2期265-266,共2页Chinese Journal of Medicinal Guide
摘 要:目的:探讨氟比洛芬酯及曲马多在糖尿病(DM)患者眼科手术中的镇痛和镇静作用。方法:选取DM患者眼底择期手术40例:男25例,女15例,年龄55~82岁,平均(68±14)岁。随机分为两组:A组(氟比洛芬酶组)20例,术前10分钟静推氟比洛芬酯100mg;B组(曲马多组)20例,术前10分钟静推曲马100mg。观察在术中的镇痛、镇静评分及不良反应发生情况。结果:A、B两组显示:两种药物均有明显的镇痛作用,无明显的不良反应发生,但曲马多的消化道反应明显高于氟比洛芬酯。结论:氟比洛芬酯及曲马多镇痛效果良好,可安全的用于DM患者术中镇痛镇静。Objective: To study on flurbiprofen and tramadol in patients with diabetes in ophthalmic surgery analgesia and sedation. Methods:Selected diabetic patients undergoing elective surgery of 40 cases of fundus, 25 males and 15 females, aged 55 to 82 years, mean (68±14)years of age. Randomly divided into two groups, A group (flurbiprofen): 20 cases, 10 minutes before surgery, flurbiprofen axetil 100mg bolus. B group (tramadol): 20 cases, 10 minutes before surgery tramadol 100mg bolus. Observed in the intraoperative analgesia, sedation scores and incidence of adverse reactions.Results:A, B groups showed: two drugs have significant analgesic effect, no significant adverse events, However, the digestive tract of tramadol was significantly higher than flurbiprofen.Conclusions:Flurbiprofen and tramadol analgesic effect is good, can be safely used in diabetic patients undergoing sedation.
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