地佐辛超前镇痛用于开胸手术的临床观察  

Clinical observation of the preemptive analgesia of Dezocine in thoracotomy

作　　者：韩香淑[1] 姜昕[1] 田野[1] 

机构地区：[1]吉林省吉林市北华大学第二临床医院麻醉科,吉林吉林132021

出　　处：《中国当代医药》2012年第25期100-100,102,共2页China Modern Medicine

摘　　要：目的观察地佐辛注射液超前镇痛用于开胸手术的临床效果。方法选择40例行开胸手术的患者,包括肺癌根治术、食道癌根治术等。随机分为对照组(单纯全麻组,A组)20例、超前镇痛组(地佐辛组,B组)20例,比较两组拔管即刻,拔管后1、4、8、24h视觉模拟疼痛评分(VAS)及恶心、呕吐、嗜睡、呼吸抑制、躁动等不良反应。结果疼痛评分A组高于B组(P<0.05),B组并发症少于A组。结论地佐辛超前镇痛用于开胸手术是可行的、安全的。Objective To observe the clinical effect of the preemptive analgesia of Dezocine Injection in thoracotomy. Methods Forty patients undergoing thoracotomy including radical surgery of lung cancer, radical surgery of esophagus can- cer and so on were chosen and randomly divided into 20 cases of control group （general anesthesia group, group A） and 20 cases of preemptive analgesia group （Dezocine group, group B）. The visual analogue scale （VAS） at just extubation and 1, 4, 8, 24 h after extubation and adverse reactions such as nausea, vomiting, sleepiness, respiratory depression, restlessness, and so on were compared between the two groups. Results The visual analogue scale of group A was higher than that of group B （P 〈 0.05）, anal the complications of group B were less than those of group A. Conclusion The application of preemptive analgesia of Dezocine in thoracotomy is feasible and safe.

关 键 词：地佐辛 超前镇痛 开胸手术 临床观察 

分 类 号：R614[医药卫生—麻醉学]