护理与康复2012，Vol.11Issue(12)：1110-1112,3.DOI:10.3969/j.issn.1671-9875.2012.12.002
胫腓骨手术后静脉自控镇痛两种追加负荷剂量方法的效果比较
Comparison on effect of two ways of adding loading dose in patient-controlled intravenous analgesia after tibia and fibula operation
摘要
Abstract
Objective To observe the effect of two ways of adding loading dose in patient—controlled intravenous analgesia after tibia and fibula operation. Method Divide 120 patients undergoing tibia and fibula operation by lower epidural anesthesia into Group A and B according to random number table. 60 patients in Group A press patient—controlled analgesia pen every 10 —15 minutes for 3 hours after 4 hours' epidural anesthesia. 60 patients in Group B receive loading dose of sufen-tanil 0. 1 μg/kg after operation according to medical order and press patient—controlled analgesia pen when their pain visual analogue scale≥4 in resting or ≥6 in motion. Compare the analgesia scores of resting and motion, sedation score and adverse reaction of two groups at present, 30min, 1h, 2h, 3h, 6h, 12h, 36h and 48h after operation. Result VAS scores of resting and motion 3h, 6h and 12h after operation in Group A are lower than in Group B (P<0. 05). There are 5 cases of incomplete analgesia in Group A and 23 cases in Group B. There is no significant difference on sedation score and rate of adverse reaction between two groups (P>0. 05). Conclusion Patient—controlled intravenous analgesia after tibia and fibula operation by single epidural anesthesia should use continuous administration at a regular time and a certain dosage.关键词
胫腓骨手术/静脉自控镇痛/负荷剂量Key words
Tibia and fibula operation/Patient—controlled intravenous analgesia/Loading dose分类
医药卫生引用本文复制引用
张丽芳,唐碧云,朱永满,陈丽钗..胫腓骨手术后静脉自控镇痛两种追加负荷剂量方法的效果比较 [J].护理与康复,2012,11(12):1110-1112,3.
