盐酸氢吗啡酮注射液在腹腔镜子宫次全切除术后患者静脉自控镇痛中的效果研究  

The effect of Hydromorphone Hydrochloride Injection in intravenous self controlled analgesia after laparoscopic subtotal hysterectomy

作　　者：綦欣竹 毛安琼 刘庆 QI Xin-zhu;MAO An-qiong;LIU Qing(Anesthesiology Department of the Affiliated Hospital of traditional Chinese medicine of Southwest Medical University,Sichuan Luzhou 646000,China)

机构地区：[1]西南医科大学附属中医医院麻醉科,四川泸州646000

出　　处：《临床医药文献电子杂志》2018年第17期10-11,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的评价盐酸氢吗啡酮注射液用于腹腔镜子宫次全切除术后镇痛的疗效。方法选取2017年3月~2017年9月我院择期行腹腔镜子宫次全切除术的患者60例,年龄18~60岁,ASA分级Ⅰ或Ⅱ级,随机将其分为2组盐酸氢吗啡酮组和舒芬太尼组,术后均行静脉自控镇痛。记录术后1、3、24、48 h疼痛视觉模拟评分(VAS),不良反应情况。结果各时间点氢吗啡酮组VAS评分、PCA按压次数和不良反应发生率均低于舒芬太尼组(P<0.05)。结论腹腔镜子宫次全切除术后PCIA中应用盐酸氢吗啡酮疗效显著,可推广应用。Objective Efficacy of Hydromorphone Hydrochloride Injection for Analgesia after Laparoscopic Subtotal Hysterectomy.Methods Select March 2017 to September 2017 in our hospital elective laparoscopic hysterectomy patients 60 cases,aged 18 to 60 years old,ASA gradeⅠorⅡgrade,randomly divided into two groups hydromorphone hydrochloride and sufentanil group,postoperative intravenous controlled analgesia.The pain visual analogue scale(VAS)was recorded at 1,3,24,48 h after operation,adverse reactions.Results VAS score,PCA compression frequency and incidence of adverse reactions in hydromorphone group at each time point were lower than those in sufentanil group(P<0.05).Conclusion Laparoscopic subtotal hysterectomy PCIA application of hydromorphone hydrochloride significant effect,can be widely used.

关 键 词：腹腔镜 病人自控 氢吗啡酮 镇痛 

分 类 号：R61[医药卫生—外科学]