地佐辛和舒芬太尼用于宫腔镜术后镇痛的疗效分析  

Analgesia of Sheen and Sufentanil, on cases of postoperative analysis after hysteroscopy curative effect

作　　者：卓帅[1] 

机构地区：[1]四川省泸州医学院附属医院,四川泸州646000

出　　处：《医药前沿》2015年第6期59-60,共2页Journal of Frontiers of Medicine

摘　　要：目的：比较地佐辛和舒芬太尼在宫腔镜术后镇痛的有效性和安全性。方法：将我院60例行宫腔镜子宫肌瘤切除术患者按术后镇痛药物的不同分为两个组：地佐辛组和舒芬太尼组，各30例。手术结束前30min，地佐辛组给予地佐辛静脉滴注，舒芬太尼组予以舒芬太尼静脉缓慢注射。观察记录两组患者苏醒时平均动脉压（MAP）、心率（HR）、拔管时间（Ta），对两组患者苏醒后10min（T1）、术后1h（T2）、3h（T3）的疼痛程度行视觉模拟（VAS）评分。并统计两组患者苏醒期呼吸抑制发生率和恶心呕吐发生率。结果：苏醒时两组患者MAP、HR组间比较差异无统计学意义（P〉0．05），地佐辛组拔管时间比舒芬太尼组显著缩短（P〈0．05）。两组VAS评分在T1-T3时点差异无统计学意义（P〉0．05）；但地佐辛组VhS评分在T3时点明显低于舒芬太尼组护〈O．05）。地佐辛组呼吸抑制率及恶心呕吐率均低于舒芬太尼组（P〈0．05）。结论：预注地佐辛对宫腔镜术后镇痛具有可靠的镇痛效果及安全性。Objective Compared with Sheen and Sufentanil too in postoperative analgesic efficacy and safety of hysteroscopy. Methods Will our routine hysteroscopy hysteromyoma resection of 60 patients divided into two groups according to postoperative analgesia drug： with Sheen and Sufentanil group, 30 cases each. Observed two groups of patients awake and mean arterial pressure （MAP）, heart rate （HR）, extubation time （Ta）, and awakening statistics of two groups of patients with respiratory depression incidence and the incidence of nausea and vomiting. Results To assist sheen decannulation time than sufentanil group markedly shortened （P 〈 0.05）. To assist the VAS score points in T3 symplectic group was obviously lower sufentanil group （P 〈 0.05）. To assist respiratory inhibition rate and the rate of nausea and vomiting symplectic group were lower than that of sufentanil group （P 〈 0.05）. Conclusions The note to assist symplectic on postoperative analgesia hysteroscopy has reliable analgesic efficacy, and safety.

关 键 词：地佐辛 舒芬太尼 宫腔镜 术后镇痛 

分 类 号：R453[医药卫生—治疗学]