盐酸丙帕他莫预防瑞芬太尼复合麻醉术后疼痛的临床效果分析  

Clinical analysis of proprtamine hydrochloride in preventing postoperative remifentanil anesthesia

作　　者：王群超[1] Wang Qunchao(Dalian Friendship Hospital Anesthesiology Department,Dalian,Liaoning,116001,China)

机构地区：[1]大连市友谊医院麻醉科,辽宁大连116001

出　　处：《当代医学》2018年第21期86-88,共3页Contemporary Medicine

摘　　要：目的探讨盐酸丙帕他莫预防瑞芬太尼复合麻醉术后疼痛的临床效果。方法选取2014年2月~2017年2月在本院进行腹腔镜手术的患者92例,随机分为研究组、对照组,对照组对患者采取芬太尼静注,研究组对患者采取盐酸丙帕他莫静注,对比两组患者的临床麻醉效果。结果苏醒时,两组患者的MAP以及HR水平之间的差异不具有统计学意义;研究组患者T3时间段的VAS评分明显低于对照组(P<0.05);研究组患者的拔管时间明显低于对照组(P<0.05)。结论盐酸丙帕他莫能够有效预防瑞芬太尼复合麻醉术后疼痛,加速患者病情恢复,具有临床推广价值。Objective To investigate the clinical efficacy of propacetamol in the prevention of pain after remifentanil combined anesthesia.Methods A total of 92 patients undergoing laparoscopic surgery in our hospital from February 2014 to February 2017 were randomly divided into study group,control group and control group.Patients in study group were treated with intravenous injection of fentanyl.Trimetazidine hydrochloride was injected intravenously to compare the clinical effects of the two groups of patients.Results When awake,the difference of MAP and HR between the two groups of patients was not statistically significant.The VAS score of T3 in study group was significantly lower than that in control group(P<0.05)The extubation time of the patients was significantly lower than that of the control group(P<0.05).Conclusion Propacetamol can effectively prevent the pain after remifentanil anesthesia and accelerate the recovery of patients'condition,which has clinical value of popularization.

关 键 词：盐酸丙帕他莫 瑞芬太尼复合麻醉 术后疼痛 临床效果 

分 类 号：R614[医药卫生—麻醉学]