地佐辛联合瑞芬太尼用于小儿快通道心脏麻醉术后镇痛的临床效果

发布时间：2018-08-20 16:08

【摘要】：目的探讨地佐辛联合瑞芬太尼在小儿快通道心脏麻醉术后镇痛的临床效果。方法选取2014年1月—2015年1月中国人民解放军第九十一中心医院麻醉科收治的66例先天性心脏病患儿,根据应用镇痛药物的不同将其分为对照组和观察组,各33例。对照组静脉滴注瑞芬太尼,观察组在对照组的基础上联合应用地佐辛。比较两组患儿的镇痛效果。结果观察组患儿术后拔管时间、苏醒时间分别为(13.2±1.7)min、(9.6±2.1)min,视觉模拟评分法(VAS)、镇静评分(CHW)分别为(3.6±0.9)分、(4.2±0.3)分,各项指标均优于对照组,差异有统计学意义(P0.05)。结论地佐辛联合瑞芬太尼在小儿快通道心脏麻醉术后的镇痛效果良好,具有较高的应用价值,值得在临床手术中推广应用。
[Abstract]:Objective to investigate the analgesic effect of dizosin combined with remifentanil in children with fast-channel cardiac anaesthesia. Methods from January 2014 to January 2015, 66 children with congenital heart disease were selected and divided into control group (n = 33) and observation group (n = 33) according to the application of analgesic drugs. The control group was given remifentanil intravenously, and the observation group was treated with dizosin on the basis of the control group. The analgesic effect was compared between the two groups. Results the postoperative extubation time and recovery time were (13.2 卤1.7) min, (9.6 卤2.1) minutes in the observation group and (3.6 卤0.9) and (4.2 卤0.3) minutes in the visual analogue score (VAS), sedation score, respectively. All the indexes were better than those in the control group (P0.05). Conclusion the analgesic effect of dizosin combined with remifentanil in children after fast channel cardiac anaesthesia is good, and it is worth popularizing in clinical operation.
【作者单位】：中国人民解放军第九十一中心医院麻醉科;焦作妇幼保健院妇产科;
【分类号】：R726.1

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