酮咯酸氨丁三醇和芬太尼对于胸科手术术后镇痛的影响  

Effects of ketorolac tromethamine and fentanyl on postoperative analgesia after thoracic surgery

作　　者：邓娜娜 董明远[1] DENG Na-na;DONG Ming-yuan(Department of anesthesiology in Binzhou People＇s Hospital,Shandong Binzhou 256500,Chin)

机构地区：[1]滨州市人民医院麻醉科,山东滨州256500

出　　处：《临床医药文献电子杂志》2018年第41期12-13,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的研究分析在胸科手术患者中采取酮咯酸氨丁三醇以及芬太尼联合对术后镇痛的临床效果。方法选取在本院接受治疗胸科手术治疗的患者,选取时间段为2017年1月~2017年10月,病例数为74例。通过随机数字法分组,平均分成对照组和观察组各37例。对照组接受芬太尼镇痛,观察组接受酮咯酸氨丁三醇以及舒芬太尼联合镇痛。分析两组镇痛效果以及不良反应情况。结果观察组患者在术后2、4、8、16、24、48小时的VAS分数均显著低于对照组(P<0.05)。观察组中患者的总不良反应率显著低于对照组(P<0.05)。结论在胸科手术患者的术后镇痛中采取酮咯酸氨丁三醇联合芬太尼能够获得良好的效果,且不良反应率低,具有较高的临床推广价值。Objective To study the clinical effect of ketorolac tromethamine and fentanyl on postoperative analgesia in patients undergoing thoracic surgery. Methods Patients who were treated with thoracic surgery in our hospital were selected from January 2017 to October 2017.The number of cases was 74 cases.By random number method grouping,the average was divided into control group and observation group each with 37 cases.The control group received fentanyl for analgesia,and the observation group received combined ketorolac tromethamine and sufentanil for analgesia.Analyze the analgesic effects and adverse reactions in the two groups. Results The VAS scores in the observation group at 2,4,8,16,24,and 48 hours after operation were signifi cantly lower than those in the control group（P〈0.05）.The total adverse reaction rate in the observation group was signifi cantly lower than that in the control group（P〈0.05）. Conclusion The use of ketorolac tromethamine in combination with fentanyl in postoperative analgesia in patients undergoing thoracic surgery can achieve good results with low adverse reaction rate and high clinical value.

关 键 词：胸科手术 芬太尼 酮咯酸氨丁三醇 术后镇痛 

分 类 号：R61[医药卫生—外科学]