酮咯酸氨丁三醇与地佐辛用于妇科腹腔镜手术后镇痛效果比较

目的探讨酮咯酸氨丁三醇与地佐辛在妇科腹腔镜手术中镇痛效果。方法120例妇科腹腔镜手术患者按照随机数字表法分为 A 组（60例）和 B 组（60例），A 组术前给予酮咯酸氨丁三醇，B 组术前给予地佐辛，观察两组镇痛效果。结果 A 组拔管时间和意识恢复时间均明显的低于 B 组（P ＜0.05）；A 组不良反应发生率为6.7％，明显低于 B 组，差异有统计学意义（P ＜0.05）。结论妇科腹腔镜手术预先给予酮咯酸氨丁三醇与地佐辛均具有较好的镇痛效果，但地佐辛不良反应较多，术后苏醒时间延长。

Analgesic effect of ketorolac tromethamine and dezocine in laparoscopic surgery

Objective To investigate the analgesic effect of ketorolac tromethamine and dezocine on patients in gynecological laparo-scopic surgery. Methods A total of 120 cases who received gynecologic laparoscopic surgery were randomly divided into group A and group B, group A was administered ketorolac tromethamine while group B received dezocine,then the analgesic effect was observed. Results Group A’s extubation time and consciousness recovery time were significantly lower than those of group B(P < 0. 05);group A’s incidence of adverse events was significantly lower than that of group B(P < 0. 05). Conclusion Previously given ketorolac tromethamine and dezocine in lapa-roscopic surgery has better analgesic effect,while single dezocine have high adverse reactions,which prolongs the postoperative recovery.