地佐辛联合舒芬太尼用于结直肠手术后镇痛的临床观察  

Clinical Observation on Dezocine Plus Sufentanil for Postoperative Analgesia After Colorectal Surgery

作　　者：马倩 张斌 廖红[1] 陈学新[1] 

机构地区：[1]宁夏医科大学总医院麻醉科,宁夏银川750004 [2]宁夏医科大学总医院心脏中心大血管外科,宁夏银川750004

出　　处：《中国卫生标准管理》2018年第4期122-123,共2页China Health Standard Management

摘　　要：目的观察地佐辛联合舒芬太尼用于结直肠手术后镇痛的效果。方法选取160例结直肠手术患者,随机分为观察组对照组,对照组予以舒芬太尼3μg/kg术后镇痛,观察组予以地佐辛0.3 mg/kg以及舒芬太尼1.5μg/kg术后镇痛,对两组疼痛程度及不良反应情况进行观察对比。结果观察组在术后6 h、12 h、24 h的疼痛VAS评分均低于对照组(P<0.05);观察组恶心呕吐发生率低于对照组(P<0.05);两组总体不良反应发生率差异无统计学意义(P>0.05)。结论地佐辛联合舒芬太尼用于结直肠手术后镇痛效果明显,且与单用舒芬太尼相比,未增加不良反应的发生,效果安全可靠。Objective To explore the effects of dezocine plus sufentanil for postoperative analgesia after colorectal surgery. Methods 160 cases with colorectal surgery were selected and divided into observation group and control group. The control group was treated with sufentanil and the observation group was taken dezocine plus sufentanil for postoperative analgesia. Pain degrees and adverse reaction in the two groups were compared. Results 6 h, 12 h, 24 h after operation, the VAS score in observation group was significant lower than control group （P 〈 0.05）. The occurrence of nausea and vomiting in observation group was lower than control group （P 〈 0.05）. No significant difference of adverse reaction showed in the two groups （P 〉 0.05）. Conclusion Dezocine plus sufentanil has better effect of postoperative analgesia with less adverse reaction after colorectal surgery.

关 键 词：结直肠手术 术后镇痛 地佐辛 舒芬太尼 

分 类 号：R614[医药卫生—麻醉学]