摘要
Abstract
Objective To observe the efficacy of flurbiprofenaxetil combined with dezocine for postoperative restlessness in patients un-dergoing thoracic surgery. Methods 90 cases of patients undergoing thoracic surgery in the hospital from January 2012 to January 2015 were selected and randomly divided into 3 groups,30 cases in each group. Group A received 50 mg flurbiprofenaxeti 10 min before surgery and 5 mg dezocine 10 min end of the surgery;group B received 0. 01 mg/kg fentanyl;group C received the same amount of normal saline. The RSS restless score and the incidence rate of postoperative restlessnessof 3 groups,and the Ramsay sedation score at 2,4,8,24 h after surgery were observed. Results The number of patients with postoperative restlessness in group A,group B and group C were 4 cases(13. 33%),3 cases(10. 00%) and 20 cases(66. 67%),respectively. There were statistical significant differences among the 3 groups in the incidence rate of postoperative restlessness(χ2=28. 89,P < 0. 01),the incidence rate of postoperative restlessness in group A and group B had no significant difference(χ2=0. 16,P=0. 688),the incidence rate of postoperative restlessness in group A and group B was significantly lower than that in group C(χ2=17. 78,P < 0. 01;χ2=20. 38,P < 0. 01). At 2,4,8 h,the Ramsay seda-tion score in group A and group B was significantly better than that in group C( P < 0. 01),and there was no significant difference between the 3 groups at 24 h after operation( P=0. 17). Conclusion Flurbiprofenaxetil combined with dezocine can ease postoperative restlessness in patients undergoing thoracic surgery,it is worthy of clinical promotion.关键词
氟比洛芬酯/地佐辛/开胸手术/术后烦躁Key words
flurbiprofenaxetil/dezocine/thoracic surgery/postoperative restlessness分类
医药卫生