| 布托啡诺用于老年病人术后自控静脉镇痛的疗效观察 |
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| 引用本文： | 张福清,陈国忠,聂海贵,吴恩慧. 布托啡诺用于老年病人术后自控静脉镇痛的疗效观察[J]. 临床军医杂志, 2008, 36(6) |
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| 作者姓名： | 张福清 陈国忠 聂海贵 吴恩慧 |
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| 作者单位： | 解放军南京军区福州总医院476临床部,麻醉科,福建,福州,350002;解放军南京军区福州总医院,麻醉科,福建,福州,350025 |
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| 摘 要： | 目的比较布托啡诺、曲马多、哌替啶、布托啡诺复合哌替啶在老年人术后的镇痛效果。方法120名行腹部和下肢手术的老年患者,随机分为四组进行术后镇痛:布托啡诺组(B组)、曲马多组(T组)、哌替啶组(M组)和布托啡诺复合哌替啶组(B+M组)。所有患者在术毕前10~30 min静脉注入负荷量,分别注入布托啡诺1 mg、曲马多50 mg、哌替啶50 mg、布托啡诺0.5 mg+哌替啶25 mg,按双盲原则进行观察,镇痛程度使用视觉疼痛评分。结果各组患者手术后不同时间点的血压、心率、呼吸频率差异均无统计学意义(P>0.05),对手术后各组不同时间点VAS评分进行比较,发现6 h和12 h 2个时间点B组、B+M组和其他两组相比较差异有统计学意义(P<0.05),B组的恶心、呕吐、嗜睡、瘙痒发生率低于其他三组(P<0.05)。结论布托啡诺具有较好的镇痛效果、较轻的不良反应的优点,可安全有效地用于老年病人术后镇痛。
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| 关 键 词： | 老年病人 术后镇痛 布托啡诺 曲马多 哌替啶 |
Effect of Butorphanol on Elderly Patients in Patient-Controlled Intravenous Analgesia |
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| Zhang Fu-qing,Chen Guo-zhong,Nie Hai-gui,Wu En-hui. Effect of Butorphanol on Elderly Patients in Patient-Controlled Intravenous Analgesia[J]. Clinical Journal of Medical Officer, 2008, 36(6) |
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| Authors: | Zhang Fu-qing Chen Guo-zhong Nie Hai-gui Wu En-hui |
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| Affiliation: | Zhang Fu-qing1,Chen Guo-zhong2,Nie Hai-gui1,Wu En-hui1(1.Department of Anesthesiology,No.476 Hospital of Fuzhou General Hospital of Nanjing Military Region,PLA,Fuzhou 350002,China,2.Department of Anesthesiology,Fuzhou General Hospital of Nanjing Military Region,Fuzhou 350025,Chima) |
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| Abstract: | Objective To compare the effects of patient-controlled intravenous analgesia with butorphanol,tramadol,meperidine,and butorphanol combined meperidine on elderly patients.Methods A total of 120 elderly patients undergoing operation in belly and lower limbs were divided into four groups at random,i.e.Group B with butorphanol,Group T with tramadol,Group M with meperidine and Group B+M with butorphanol combined meperidine.Loading dose(butorphanol 1 mg,tramadol 50 mg,meperidine 50 mg,butorphanol 0.5 and meperidi... |
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| Keywords: | elderly patient postoperative analgesia butorphanol tramadol meperidine |
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