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舒芬太尼用于小婴儿术后静脉自控镇痛的效果

石赟 周志坚 张学锋 王炫

中国临床医学2011,Vol.18Issue(2):240-242,3.
中国临床医学2011,Vol.18Issue(2):240-242,3.

舒芬太尼用于小婴儿术后静脉自控镇痛的效果

The Efficacy of Sufentanil for Postoperation Analgesia in Infant

石赟 1周志坚 1张学锋 1王炫1

作者信息

  • 1. 复旦大学附属儿科医院,上海,201102
  • 折叠

摘要

Abstract

Objective:To investigate the efficacy of sufentanil for postoperation analgesia in infant. Methods: A total of 129 children undergoing elective abdominal surgery were divided into 2 groups according to their ages. Then they were randomly divided into 2 groups: Group SⅠ (age< 2yr, provided with sufentanil ), Group SⅡ (age>2yr, provided with sufentanil), Group MⅠ (age< 2yr, provided with morphine), and Group MⅡ (age>2yr, provided with morphine). The face, legs, activity, cry,consolability(FLACC), pain tool face pain score, Ramesay score, the adverse effects, degrees of satisfaction with analgesia were recorded at the first 3 days after the surgery. Results: FLACC and the face pain score decreased with the time. On first day after surgery, the FLACC of Group SⅠ was higher than that of Group SⅡ , and the FLACC of Group MⅠ was higher than that of Group MⅡ . The face pain score of MⅠ was higher than MⅡ , and the face pain score of MⅠ was higher than SⅠ . The Ramesay score decrease with the time. On the first day after surgery, the ramesay score of Group MⅡ was higher than that of Group MⅠ. The incidence of adverse effect in SⅡ and MⅡ was higher than that in SⅠ and MⅠ . The degrees of satisfaction in those 4 groups was similar. Conclusions: Compared with morphine, sufentanil decrease the possibility of excessive sedation. Either morphine or sufentanil used, the infants tend to be more painful and upset. So there ought to be a more efficient way for postoperation analgesia in infant.

关键词

小婴儿/舒芬太尼/吗啡/术后镇痛/患者自控镇痛

分类

医药卫生

引用本文复制引用

石赟 ,周志坚,张学锋,王炫..舒芬太尼用于小婴儿术后静脉自控镇痛的效果[J].中国临床医学,2011,18(2):240-242,3.

中国临床医学

OACSTPCD

1008-6358

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