地佐辛联合芬太尼在老年脊柱手术术后镇痛的应用  

Application of Dezocine Combined Fentanyl on Postoperative Analgesia of aged patients for Spinal Surgery

作　　者：梁万益[1] 林红[1] 陈伟志[1] 陈冠文[1] 梁金华[1] 

机构地区：[1]广东省高州市人民医院麻醉二区,广东高州525200

出　　处：《吉林医学》2015年第9期1727-1728,共2页Jilin Medical Journal

摘　　要：目的:探讨地佐辛联合芬太尼在老年脊柱手术术后镇痛的效果。方法:选择脊柱手术老年患者126例,根据随机数字表达法将其平均分为研究组与对照组,每组各63例。研究组应用地佐辛联合芬太尼镇痛,对照组仅应用芬太尼镇痛。结果:研究组术后4 h、12 h、24 h、48 h的VAS评分明显低于对照组,两组相比差异具有统计学意义(P<0.05)。研究组不良反应发生率为6.35%,明显低于对照组的14.29%(P<0.05)。结论:针对脊柱手术术后镇痛的老年患者,地佐辛联合芬太尼应用效果显著,可以快速提高镇痛效果,降低不良发生发生几率,安全可靠,适用临床应用。Objective To investigate the efficacy of dezocine combined fentanyl on postoperative analgesia of aged patients undergoing spi-nal surgeries. Method 126 elderly patients for spinal operations who were selected were randomly divided into research group and control group with 63 cases in each group. In research group,dezocine and fentanyl were applied for analgesia and fentanyl was used only in control group. Results In research group,visual analogue scale（VAS）of 4 h,12 h,24 h and 48h after surgery were significantly lower than that in control group,and there was statistically difference（P〈0. 05）. The adverse reaction ratio in research group was 6. 35‰ and it was signifi-cantly lower than that in control group（ P〈0. 05）. Conclusion For postoperative analgesia in aged patients after spinal surgery,dezocine com-bined fentanyl are effective,it can reduce adverse reaction ratio and is safety and worthy of clinical promotion.

关 键 词：地佐辛 芬太尼 老年 脊柱手术 术后镇痛 

分 类 号：R614[医药卫生—麻醉学]