实用临床医药杂志Issue(15)：35-37,41,4.DOI:10.7619/jcmp.201415011
地佐辛复合舒芬太尼用于老年胃肠道肿瘤根治术患者术后静脉自控镇痛的临床效果
Clinical effect of dezocine combined with sufentanil on postoperative analgesia in elderly patients with radical resection of gastroenteric tumor
刘泽文 1严国胜 1刘会长1
作者信息
- 1. 湖北省鄂州市中心医院 麻醉手术科，湖北 鄂州，436000
- 折叠
摘要
Abstract
Objective To explore the effect and side effects of dezocine combined with sufentanil in patient-controlled intravenous analgesia(PCIA)of elderly patients with radical resec-tion of gastroenteric tumor.Methods 60 elderly patients with selective radical operation for gas-troenteric tumor were randomly divided into dezocine combined with sufentanil group (group DS,n=30)and sufentanil group (group S,n =30).Continuous monitoring was used to record blood pressure,heart rate,respiratory rate and SpO2,the VAS scores during both silence and 90°turn over situation were recorded,and Ramsay scores at 4,8,16,24 and 48 hours after operation as well as the adverse reactions were compared.Results There were no significant differences of Ramsay score and VAS pain during silence between two groups,but there was a significant differ-ence of VAS pain under turn-over situation between two groups(P <0.05).In group SD,the in-cidence rates of side effects such as nausea,vomiting,dizziness and shivering were significantly low-er than those in group S(P <0.05).Conclusion Application of dezocine combined with sufentanil has a preferable therapeutic effect for post-operative movement pain and less adverse effects,and it is worthy of clinical application and popularization.关键词
地佐辛/舒芬太尼/老年/胃肠道肿瘤根治术/静脉自控镇痛Key words
dezocine/sufentanil/elderly/radical resection of gastroenteric tumor/post-operative analgesia分类
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刘泽文,严国胜,刘会长..地佐辛复合舒芬太尼用于老年胃肠道肿瘤根治术患者术后静脉自控镇痛的临床效果[J].实用临床医药杂志,2014,(15):35-37,41,4.
