地佐辛联用舒芬太尼对妇科术后镇痛效果的临床观察

目的:观察地佐辛联用舒芬太尼对妇科术后静脉镇痛的临床效果。方法:按照入院顺序将150例妇科术后患者,随机分为地佐辛组、舒芬太尼组、地佐辛联合舒芬太尼组。静脉镇痛记录术后24、48h的视觉模拟评分(VAS)、舒适度评分(BCS)、镇静评分(Ramsay)、呕吐评分,记录各种不良反应情况。结果:地佐辛组、舒芬太尼组、地佐辛联合舒芬太尼组之间用药后24h和48h比较:联合用药组VAS、BCS、呕吐评分较佳,差异均具有统计学意义(P<0.05);不良反应除了木僵、呼吸频率和平均动脉压三者之间的差异不明显(P>0.05),其他指标联合组优于其他两组,且差异具有统计学意义(P<0.05)。结论:地佐辛联合舒芬太尼用于妇科术后静脉镇痛临床效果佳。

Compare the clinical effects of obstetrics and gynecology intravenous injection for postoperative analgesia with Sufentanil and Dezocine

AIM: To observe and analyse the clinical effects of gynecology intravenous injection for postoperative analgesia with Sufentanil and Dezocine.METHODS: 150 cases of obstetrics and gynecology patients were randomly divided into groups of Dezocine,Sufentanil,Dezocine joint Sufentanil.24,48 h after intravenous analgesia recorded the VAS,BCS,Ramsay score,vomiting score,recorded a variety of adverse reactions.RESULTS:Compared between 24 h and 48 h among Dezocine group,Sufentanil group and Sufentanil combined with Zuoxin Group,Sufentanil combined with Zuoxin Group had higher VAS,BCS,vomiting score,and there were statistically significant among three groups(P<0.05).Adverse reactions in addition to stupor,respiratory rate and mean arterial pressure had no significantly different between three groups(P>0.05),the jiont group had better results than those of other two groups in other indicators(P<0.05).CONCLUSION: Postoperative analgesia with Sufentanil combined with Dezocine for gynecology intravenous injection has good clinical effects.