| 老年患者开胸术后镇痛对应激反应的影响 |
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| 引用本文： | 庞加磊,周本昊,王研,王润丰,姜迎厚,杜成.老年患者开胸术后镇痛对应激反应的影响[J].临床肺科杂志,2014(12):2204-2206. |
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| 作者姓名： | 庞加磊 周本昊 王研 王润丰 姜迎厚 杜成 |
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| 作者单位： | 南京市胸科医院ICU, 江苏 南京,210029 |
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| 摘 要： | 目的探讨老年患者开胸术后镇痛对应激反应的影响。方法对72例老年患者随机分为两组,在麻醉恢复后(A组)、拔管后(B组)开放静脉自控镇痛泵(PCIA)。比较两组术后疼痛差别及应激反应等情况。结果 A组术后12 h疼痛视觉模拟评分(VAS)和血糖低于B组,同时A组术后24 h、48 h氧合指数高于B组,差异均有统计学意义(P0.05)。结论开胸术后的老年患者在麻醉清醒时打开镇痛泵可降低术后应激反应水平,对呼吸无明显抑制。
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| 关 键 词： | 自控静脉镇痛泵 胸部手术 老年患者 |
The effect of analgesia on stress response in elderly patients with open thoracic surgery |
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| PANG Jia-lei,ZHOU Ben-hao,WANG Yan,WANG Run-feng,JIANG Ying-hou,DU Cheng.The effect of analgesia on stress response in elderly patients with open thoracic surgery[J].Journal of Clinical Pulmonary Medicine,2014(12):2204-2206. |
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| Authors: | PANG Jia-lei ZHOU Ben-hao WANG Yan WANG Run-feng JIANG Ying-hou DU Cheng |
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| Institution: | ( Intensive Care Unit, Nanjing chest hospital 210029, Nanjing, China) |
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| Abstract: | Objective to evaluate the effect of patient controlled intravenous analgesia （ PCIA） on stress re-sponse in elderly patients with open thoracic surgery. Methods 72 elderly patients were randomly divided into two groups. PCIA was opened after anesthesia awake （ group A） or after extubation （ group B） respectively. Analgesic effect and stress reaction were assessed. Results 12 h visual analogue scale and blood glucose in group A was nota-ble significant lower than group B. Meanwhile, 24 h and 48 h oxygenation index after surgery in group A was notable higher than group B. Conclusions PCIA should be opened as soon as possible after anesthesia awake. It could re-duce stress levels without respiratory depression. |
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| Keywords: | Patient controlled intravenous analgesia Thoracic surgery Elderly patient |
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