舒芬太尼预防手术麻醉后早期疼痛的效果观察  

Effect of sufentanil on preventing early pain after anesthesia surgery

作　　者：刘旭江[1] 蔡晓莉[1] 许舒娅[1] 

机构地区：[1]三峡大学中医临床医学院宜昌市中医医院,湖北宜昌443003

出　　处：《实用临床医药杂志》2017年第9期109-112,共4页Journal of Clinical Medicine in Practice

基　　金：湖北省科技厅项目(TJG2015000011)

摘　　要：目的探讨舒芬太尼预防手术麻醉后早期疼痛的效果。方法选取行肠癌切除手术的患者295例,随机分为舒芬太尼组和对照组,比较2组患者不同时间点的平均动脉压、心率、血氧饱和度、躁动评分。比较2组患者术后首次疼痛评分、镇静评分、VAS评分。比较2组患者术后并发症发生率。结果舒芬太尼组患者T1的平均动脉压和心率均显著高于对照组(P<0.05)。舒芬太尼组的首次疼痛评分显著低于对照组(P<0.05)。舒芬太尼组T_1、T_2、T_3时的VAS评分显著低于对照组(P<0.05)。舒芬太尼组术后并发症发生率显著低于对照组(P<0.05)。结论舒芬太尼预防手术麻醉后早期疼痛有良好的效果。Objective To explore the effect of sufentanil on preventing early pain after anesthesia surgery. Methods A total of 295 patients with colon cancer surgery were randomly divided into sufentanil group and control group. The MAP, HR, SpO2 and restless score at different time points were compared between two groups. The pain score, sedation score and VAS score were compared between the two groups. The complications were compared. Results The MAP and HR at T1 in the sufentanil group were significantly higher than those in the control group （P 〈 0.05）. The first time pain score in the sufentanil group was significantly lower than the control group （P 〈 0.05 ）. The VAS scores of sufentanil group at T1 , T2, T3 were significantly lower than the control group （ P 〈 0.05）. The incidence rate of postoperative complications in sufentanil group was significantly lower than the control group （P 〈 0.05 ）. Conclusion Sufentanil is effective in preventing early pain after surgery.

关 键 词：舒芬太尼 麻醉后早期疼痛 预防效果 术后并发症 

分 类 号：R614[医药卫生—麻醉学]