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地塞米松减少手术后舒芬太尼自镇痛不良反应效果观察
引用本文:冯雅珍,冯艳华,袁彤,麻海春.地塞米松减少手术后舒芬太尼自镇痛不良反应效果观察[J].中国医药导刊,2012(9):1560+1562.
作者姓名:冯雅珍  冯艳华  袁彤  麻海春
作者单位:吉林大学第一医院麻醉科,长春130022
摘    要:目的:探讨地塞米松减少手术后病人自控镇痛(Patient-controlled analgesia,PCA)中舒芬太尼引起不良反应效果情况。方法:采用回顾性分析的方法,分析择期手术患者100例临床资料,将患者分为观察组(地塞米松组)50例和对照组(生理盐水组)50例。结果:两组患者年龄、体重、性别、麻醉方法、手术种类无明显差异,P>0.05,观察组恶心、呕吐发生率明显低于对照组,P<0.05,差异均有统计学意义。结论:地塞米松减少手术后PCA镇痛中舒芬太尼引起恶心、呕吐效果明显,值得临床推广应用。

关 键 词:地塞米松  PCA  舒芬太尼  恶心  呕吐

Clinical Observation of Dexamethason to Reduce the Postoperative Adverse Reaction to Sufentanil in PCA
Institution:Feng Yazhen,Feng Yanhua,Yuan Tong,et al.(Anesthesiology Department,the First Hospital of Jilin University,Changchun 130022,China)
Abstract:Objective:To approach adverse effect result analyze of sulfentanyl after operation in PCA by hexadecadrol.Methods:To retrospective analyze 100 cases clinical data of selective operation patients,which was to be divided into detection group(hexadecadrol group)50 cases and control group(isotonic Na chloride group)50 cases.Results:The age、body weight、sexuality、anesthesia method、 operation types of two groups were no difference,P>0.05,the nausea、disgorging incidence rate of detection group were lower than control group,P<0.05,the difference were statistical significance.Conclusion:The nausea、disgorging was obviously,which of sulfentanyl after operation in PCA by hexadecadrol,which was to be used.
Keywords:Hexadecadrol  PCA  Sulfentanyl  Nausea  Disgorging
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