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地佐辛联合舒芬太尼用于开腹手术后自控静脉镇痛的效果及护理

鲁汉杰 张穗 李小亮 黄蓉 朱玉娇 王美芳

实用临床医药杂志Issue(12):45-47,60,4.
实用临床医药杂志Issue(12):45-47,60,4.DOI:10.7619/jcmp.201412015

地佐辛联合舒芬太尼用于开腹手术后自控静脉镇痛的效果及护理

The effect and nursing of Dezocine and Sufentanil on self-controlled vein analgesia after laparotomy

鲁汉杰 1张穗 1李小亮 1黄蓉 1朱玉娇 1王美芳1

作者信息

  • 1. 广州军区武汉总医院 麻醉科,湖北 武汉,430000
  • 折叠

摘要

Abstract

Objective To explore effect and nursing of Dezocine and Sufentanil on self-controlled vein analgesia after laparotomy.Methods 60 patients undergoing abdominal surgery were randomly divided into Dezocine group (group D),Sufentanil group (group S),and Dezocine and Sufentani group (group DS).Analgesic,sedative effect of three drugs after 3 postoperative hours,6 h,12 h,24 h and 48 h were compared.Adverse reactions such as nausea,vomiting, dizziness,respiratory depression were recorded.Satisfaction of three groups of patients on the post-operative analgesia effect was evaluated.Results After 6 postoperative hours,12 h,24 h and 48 h,the difference of VAS score of group DS was not statistically significant compared with the group S (P >0.05).And the score of group DS and group S were lower than that in the group D (P <0.05).Analgesia satisfaction of group DS was higher than that of group D and group S,and the difference was statistically significant (P <0.05).The incidence of adverse reactions of group DS was lower than that of group D and S ,and the difference was statistically significant (P <0.05).Conclusion The analgesia and sedative effect of the Dezocine and Sufentanil after abdomi-nal surgery is better than drug usage alone,and adverse reactions decreases.Preoperative and post-operative education about analgesic effect,timely dealing with adverse reactions can increase pa-tients’satisfaction and improve the quality of life of the patients.

关键词

地佐辛/舒芬太尼/腹部手术/自控静脉镇痛/护理

Key words

Dezocine/Sufentanil/abdominal surgery/self-controlled vein analgesia/nursing

分类

医药卫生

引用本文复制引用

鲁汉杰,张穗,李小亮,黄蓉,朱玉娇,王美芳..地佐辛联合舒芬太尼用于开腹手术后自控静脉镇痛的效果及护理[J].实用临床医药杂志,2014,(12):45-47,60,4.

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