地佐辛复合舒芬太尼用于老年胃肠道肿瘤根治术患者术后静脉自控镇痛的临床效果

Clinical effect of dezocine combined with sufentanil on postoperative analgesia in elderly patients with radical resection of gastroenteric tumor

  • 摘要: 目的:观察地佐辛联合舒芬太尼用于老年胃肠道肿瘤根治术后静脉自控镇痛的镇痛效应及其不良反应。方法选择60例 ASA Ⅰ~Ⅱ级择期行胃肠道肿瘤开腹根治手术的老年患者,随机分为地佐辛复合舒芬太尼组(SD 组)和舒芬太尼组(S 组),每组30例。持续监测血压、心率、呼吸频率、SpO2;记录术后4、8、16、24、48 h 各时点安静和90°翻身运动时的 VAS 评分和镇静 Ramsay 评分;记录患者的镇痛满意度评价以及镇痛期间不良反应的发生情况。结果2组术后各时点安静状态下VAS 评分及 Ramsay 镇静评分差异均无统计学意义(P >0.05);翻身运动时 SD 组各时点 VAS 评分均低于 S 组(P <0.05);SD组恶心、呕吐、头晕和寒战的发生率明显低于 S 组(P <0.05)。结论地佐辛复合舒芬太尼用于胃肠道肿瘤根治术后静脉自控镇痛对运动痛的镇痛效果优于单用舒芬太尼,且可降低术后恶心、呕吐等不良反应的发生,值得临床推广使用。

     

    Abstract: Objective To explore the effect and side effects of dezocine combined with sufentanil in patient-controlled intravenous analgesia(PCIA)of elderly patients with radical resec-tion of gastroenteric tumor.Methods 60 elderly patients with selective radical operation for gas-troenteric tumor were randomly divided into dezocine combined with sufentanil group (group DS,n=30)and sufentanil group (group S,n =30).Continuous monitoring was used to record blood pressure,heart rate,respiratory rate and SpO2,the VAS scores during both silence and 90°turn over situation were recorded,and Ramsay scores at 4,8,16,24 and 48 hours after operation as well as the adverse reactions were compared.Results There were no significant differences of Ramsay score and VAS pain during silence between two groups,but there was a significant differ-ence of VAS pain under turn-over situation between two groups(P <0.05).In group SD,the in-cidence rates of side effects such as nausea,vomiting,dizziness and shivering were significantly low-er than those in group S(P <0.05).Conclusion Application of dezocine combined with sufentanil has a preferable therapeutic effect for post-operative movement pain and less adverse effects,and it is worthy of clinical application and popularization.

     

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