地佐辛与吗啡用于妇科手术后PCIA效果的对照研究  

A comparative study on the effects of dezocine and morphine on PCIA after gynecological surgery

作　　者：李敬[1] 黄波[1] 李荣[1] 岳庆祝[1] 孙永涛[1] 杨筠[1] 袭菲菲[1] 周明霞[1] 

机构地区：[1]山东省济南市第四人民医院麻醉科,山东济南250031

出　　处：《实用临床医药杂志》2012年第15期113-115,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(1220076)

摘　　要：目的观察比较地佐辛与吗啡用于妇科手术后静脉自控镇痛(PCIA)的效果和不良反应的发生情况。方法将80例妇科手术患者根据麻醉方法不同分为地佐辛组和吗啡组,各40例。吗啡组镇痛药液为吗啡加高乌甲素,地佐辛组镇痛药液为地佐辛加高乌甲素。观察2组术后VAS、BCS、Ramesy评分及不良反应发生情况。结果 2组患者术后不同时间点VAS、BCS、Ramesy评分及不良反应发生情况差异无统计学意义(P>0.05)。结论地佐辛用于妇科手术后PCIA,同样具有较好的镇痛效果,不良反应发生率低。Objective To compare the effects of dezocine and morphine on patient-controlled intravenous analgesia（PCIA） for gynecological surgery and the incidence of adverse events.Methods Eighty patients with gynecological surgery under anesthesia were divided into to dezocine group（n=40） and morphine group（n=40）.The analgesic liquids were morphine and lappaconitin in morphine group,and dezocine and lappaconitine in dezocine group.After surgery,VAS,BCS,Ramesy score and adverse reactions in the two groups were observed.Results At different time points,the differences of the VAS,the BCS,Ramesy score and adverse reactions showed no statistically significant differences in the two groups（P〉0.05）.Conclusion After gynecological surgery,dezocine has the same analgesic effect with lower incidence of adverse reactions.

关 键 词：地佐辛 吗啡 PCIA 

分 类 号：R713[医药卫生—妇产科学]