皮下持续镇痛法与静脉自控镇痛法在全麻术后镇痛中的应用比较  

Continuous subcutaneous analgesia and patient-controlled intravenous analgesia in patients after general anesthesia analgesia

作　　者：汤昆蓉[1] 邓婉欣[1] 

机构地区：[1]成都市龙泉驿区第一人民医院麻醉科,四川成都610100

出　　处：《西部医学》2012年第6期1155-1156,共2页Medical Journal of West China

摘　　要：目的比较持续皮下持续镇痛法与静脉自控镇痛法在全麻术后镇痛中的应用效果。方法全麻术后患者80例随机分为A、B两组,每组40例,A组采用皮下镇痛法,于手术结束拔出气管导管后即于上臂三角肌处皮下持续泵入0.015%舒芬太尼,2ml/h;B组采用静脉自控镇痛法于手术结束拔出气管导管后持续静脉泵入0.01%舒芬太尼,2ml/h。采用VAS和SS评分评估两组的镇痛和镇静效果。结果 A组镇痛效果优于B组(P<0.05),镇静强度低于B组(P<0.05)。B组镇痛效果弱于A组,但镇静强度高于A组。结论皮下持续镇痛法较静脉自控镇痛法镇痛效果强,对全身影响较小,安全性高,为一较好全麻术后镇痛方法,可在临床全麻术后镇痛中推广应用。Objective To compare the effect of continuous subcutaneous analgesia and patient-controlled intrave- nous analgesia on patients after general anesthesia. Methods 80 cases were randomly divided into two groups. A group （40 cases） was treated with deltoid muscle subcutaneous continuous infusion with 2ml/h 0. 015% after operation. B group （40 cases） were treated with intravenous infusion of sufentanil in 0.01% 2ml/h after operation. The analgesic and sedative effect were assessed with VAS and SS score. Results The analgesia effect of A group was better than that of B group, but the sedation effect of A group was weaker than that of B group. Conclusion Continuous subcutaneous analgesia is a good general anesthesia for postoperative analgesia methods.

关 键 词：皮下持续镇痛 静脉自控镇痛 应用价值 比较 

分 类 号：R614.2[医药卫生—麻醉学]