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右美托咪啶对胸腔镜肺部手术后舒芬太尼自控静脉镇痛效果的影响

邹志聪

现代医院2018,Vol.18Issue(5):763-765,3.
现代医院2018,Vol.18Issue(5):763-765,3.DOI:10.3969/j.issn.1671-332X.2018.05.045

右美托咪啶对胸腔镜肺部手术后舒芬太尼自控静脉镇痛效果的影响

Effects of Dexmedetomidine in Combination with Sufentanil - based Intravenous Patient - controlled Analgesia after Video - assisted Thoracoscopic Surgery

邹志聪1

作者信息

  • 1. 嘉应学院医学院附属医院 广东 梅州 514031
  • 折叠

摘要

Abstract

Objective To investigate the effects of dexmedetomidine in combination with sufentanil-based intravenous patient-controlled analgesia. Methods 60 ASA Ⅰ~Ⅱ patients undergoing video-assisted thoracoscopic surgery were divided into two groups (30 patients in each group). In group A, only sufentanil was included in the reagent of patient-controlled analgesia. In group B, dexmedetomidine and sufentanil were included. Results Compared to Group A, consumption of sufentanil in group B at 8h, 24h and 48h after surgery and the incidence of nausea were significantly lower (P<0.05). The side effects incidences such as vomiting, deep sedation, urine retention and pruritus were comparable between two groups. Conclusion Dexmedetomidine-sufentanil combination for postoperative analgesia in video-assisted thoracoscopic surgery patients resulted in significant sufentanil sparing and lower incidence of nausea.

关键词

胸腔镜手术/术后镇痛/舒芬太尼/右美托咪啶

Key words

Video-assisted Thoracoscopic Surgery/Patient-controlled Analgesia/Sufentanil/Dexmedetomidine

分类

医药卫生

引用本文复制引用

邹志聪..右美托咪啶对胸腔镜肺部手术后舒芬太尼自控静脉镇痛效果的影响[J].现代医院,2018,18(5):763-765,3.

现代医院

1671-332X

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