探讨舒芬太尼和右美托咪啶应用于术中麻醉及术后镇痛的效果

发布时间：2019-04-15 22:03

【摘要】：目的:研究在术中麻醉和术后镇痛中使用舒芬太尼和右美托咪啶的实际价值。方法:选取我院收治的150例手术患者进行分组研究,所有患者的麻醉方法为全身麻醉,结合临床随机数字表法将其平均分为观察组与对照组,对照组手术中采用芬太尼进行麻醉,手术后使用舒芬太尼进行镇痛,观察组手术中采用舒芬太尼麻醉,手术后联合使用舒芬太尼及右美托咪啶进行镇痛,对比两组麻醉效果和术后镇痛情况。结果:两组恢复自主呼吸的时间、苏醒时间和拔除气管导管时间比较,差异均有统计学意义(P均0.05);手术后观察组的疼痛评分(1.7±0.6)分,舒芬太尼用量(17.7±6.9)μg,对照组的疼痛评分(3.5±1.5)分,舒芬太尼用量(44.2±18.5)μg,差异均有统计学意义(P均0.05)。结论:与芬太尼比较,舒芬太尼的麻醉效果更好,此外,在术后镇痛中,与舒芬太尼单一用药比较,与右美托咪啶的联合用药的镇痛效果更佳,可推广。
[Abstract]:Objective: to study the clinical value of sufentanil and dexmetomidine in anesthesia and postoperative analgesia. Methods: 150 patients treated in our hospital were divided into two groups. All patients were anesthetized by general anesthesia, and divided into observation group and control group on the basis of clinical random numerical table method, and all patients were divided into two groups: observation group and control group. Fentanyl was used for anesthesia in the control group, sufentanil was used for analgesia after operation, sufentanil was used in the observation group, and sufentanil and right metamidine were used for analgesia after the operation. The effects of anesthesia and postoperative analgesia were compared between the two groups. Results: there were significant differences in the recovery time, recovery time and extubation time between the two groups (P 0.05). After operation, the pain score, sufentanil and sufentanil were (1. 7 卤0. 6), (17.7 卤6. 9) 渭 g, (3. 5 卤1. 5), (44.2 卤18.5) 渭 g in the observation group and (17.7 卤6. 9) 渭 g in the control group respectively. The difference was statistically significant (P 0.05). Conclusion: the anesthetic effect of sufentanil is better than that of fentanyl. In addition, the analgesic effect of sufentanil combined with dexmetomidine is better than that of sufentanil in postoperative analgesia.
【作者单位】：广东省湛江中心人民医院;
【分类号】：R614

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