舒芬太尼用于腰硬联合阻滞麻醉的手术镇痛效果观察

目的：探析舒芬太尼用于腰硬联合阻滞麻醉的手术镇痛效果。方法选择2013年1月～2015年12月收治的100例腰硬联合阻滞麻醉手术患者，分为两组，对照组患者使用芬太尼进行镇痛，观察组患者使用舒芬太尼进行镇痛，统计分析两组患者的镇痛效果。结果镇痛前，观察组患者的VAS评分是（7.1±1.4）分，对照组是（7.2±1.3）分，无显著差异性（ P＞0.05）。镇痛后的观察组患者的VAS评分是（3.0±1.2）分，对照组是（5.1±1.6）分，差异性显著（ P＜0.05）。实施镇痛后，两组患者的神经阻滞未见显著差异性（ P＞0.05）。观察组患者的不良反应发生率是30％，对照组患者是64％，差异性显著（ P＜0.05）。结论舒芬太尼用于腰硬联合阻滞麻醉手术镇痛中的效果极为理想，能够有效减轻患者的术后疼痛程度，避免神经阻滞的发生。

Clinical Observtaions on the Analgesic Effect of Sufentanil in Combined Spinal-epidural Anaesthesia

Objective To analyze the analgesic effect of sufentanil in combined spinal -epidural anaesthesia (CSEA).Methods From January 2013 to December 2015,100 cases of CSEA in Surgical Department of Lingyuan Central Hospital were selected , They were randomly divided into two groups ,the control group patients were treated with fentanyl for analgesia , in the observation group were treated with sufentanil analgesia , statistical analysis analgesic effect of the two groups of patients.Results The pain, the VAS score of the observation group is (7.1 ±1.4) points, the control group is (7.2 ±1.3), no significant difference (P>0.05).Analgesia after the VAS scores of the observation group is (3 ±1.2) points, the control group is (5.1 ±1.6), a significant difference (P<0.05).After the implemen-tation of nerve block analgesia, there was no significant difference between two groups (P>0.05).Observation group of patients with adverse reaction rate was 30%, patients in the control group was 64%, there were significant differences (P<0.05).Conclusions The analgesic effect of sufentanil for CSEA is extremely ideal , can effectively relieve postop-erative pain, to avoid the occurrence of nerve block .