地佐辛与芬太尼患者自控静脉镇痛的比较  

Comparison of the analgesic effects of Dezocine or Fentanyl for intravenous patient-controlled analgesia

作　　者：王军[1] 王志萍[1] 黄东晓[1] 

机构地区：[1]江苏省无锡市人民医院麻醉科,江苏无锡214002

出　　处：《实用临床医药杂志》2011年第5期109-110,124,共2页Journal of Clinical Medicine in Practice

摘　　要：目的比较地佐辛与芬太尼自控静脉镇痛（PCIA）的镇痛效果和不良反应。方法120例胆囊切除术患者，年龄39～52岁，随机均分为2组，术后A组PCIA采用地佐辛1mg／kg＋氟哌啶5mg，B组PCIA采用芬太尼18μg／kg＋氟哌啶5mg，分别于术后4、8、12、24h采用视觉模拟评分法（VAS）评定镇痛效果及不良反应。结果2组患者术后镇痛效果及不良反应均无显著性差异。结论地佐辛PCIA镇痛效果可靠，不失为一种比较好的PCIA方法。Objective To compare the analgesic effects and adverse reactions of Dezocine or Fentanyl for patient - controlled intravenous analgesia （PCIA. Methods 120 patients undergoing cystic resection aged 39- 52 years were randomly divided into 2 groups with 60 cases each. They received PCIA after operation. The PCIA solution contained Dezocine 1 mg/kg and Droperidol 5 nag in 100nal of normal saline（N. S. ） in group A or Fentanyl 18μg/kg and Droperidol 5 nag in 100 mL of normal N.S. in group B. VAS （0 ： no pain, 10 = worst pain） was used to measure pain intensity and their side effects were recorded at 4, 8, 12, 24 h after operation. Results There was no significant difference in VAS score and side effects between the two groups. Conclusion The analgesic effect of Dezocine PCIA is reliable and it＇s a sound PCIA method.

关 键 词：地佐辛 芬太尼 胆囊切除术 镇痛 

分 类 号：R657.4[医药卫生—外科学]