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
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 ()