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首页|期刊导航|临床医学工程|喷他佐辛两种用药模式在腹腔镜胆囊切除术中超前镇痛效果的比较研究

喷他佐辛两种用药模式在腹腔镜胆囊切除术中超前镇痛效果的比较研究

徐天星 李雅兰 周锦财 戴载深 曾振横 严彦念 聂偲

临床医学工程Issue(6):701-702,2.
临床医学工程Issue(6):701-702,2.DOI:10.3969/j.issn.1674-4659.2014.06.0701

喷他佐辛两种用药模式在腹腔镜胆囊切除术中超前镇痛效果的比较研究

Comparative Study on Preemptive Analgesia Effects of Two Different Pentazocine Modes in Laparoscopic Cholecystectomy

徐天星 1李雅兰 2周锦财 1戴载深 1曾振横 1严彦念 2聂偲2

作者信息

  • 1. 广州市番禺区何贤纪念医院/南方医科大学附属何贤纪念医院麻醉科,广东广州511400
  • 2. 暨南大学附属第一医院麻醉科,广东广州510630
  • 折叠

摘要

Abstract

Objective To study the advantages, disadvantages and feasibility of two modes of pentazocine in preemptive analgesia in laparoscopic cholocystectomy (LC). Methods 90 patients were randomized into three groups. Group A received pentazocine both 0.5 mg/kg preoperatively and 0.2 mg/kg at last 15 min of surgery, Group B received 0.5 mg/kg preoperatively, and Group C received normal saline. The agitation and cough of postoperative extubation, postoperative VAS scores, recovery quality and adverse reactions were observed. Results Agitation and cough of extubation in Group A was significantly lower than that in Group B&C (P<0.05). The VAS scores in 24 h ours of Group A were lower than those of Group C (P<0.05), and the scores in the first 8 h of Group A were lower than those of Group B (P<0. 05);no patients required supplemental analgesics. The VAS scores of the first 2 h of Group B was lower than those of Group C (P<0.05), but 9 patients required supplemental analgesics. Conclusions Preoperative and last-15-min-operative application of pentazocine has a satisfactory effect on preemptive analgesia, reducing agitation, cough and postoperative pain, with more stable hemodynamics.

关键词

喷他佐辛/超前镇痛/腹腔镜胆囊切除术

Key words

Pentazocine/Preemptive analgesia/Laparoscopic cholocystectomy

分类

医药卫生

引用本文复制引用

徐天星,李雅兰,周锦财,戴载深,曾振横,严彦念,聂偲..喷他佐辛两种用药模式在腹腔镜胆囊切除术中超前镇痛效果的比较研究[J].临床医学工程,2014,(6):701-702,2.

基金项目

广东省中医药管理局科研资助项目 ()

临床医学工程

1674-4659

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