首页|不同剂量氟比洛芬酯复合地佐辛在老年宫腔镜手术超前镇痛中的应用效果

不同剂量氟比洛芬酯复合地佐辛在老年宫腔镜手术超前镇痛中的应用效果

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目的 探讨不同剂量氟比洛芬酯复合地佐辛在老年宫腔镜手术超前镇痛中的应用效果。方法 选取2022 年 2月至2023 年 2 月收治的 136 例拟行宫腔镜手术的老年患者为研究对象,以随机数字表法将其分为对照组和观察组,各 68 例。对照组采取50 mg氟比洛芬酯复合地佐辛麻醉,观察组采取 100 mg氟比洛芬酯复合地佐辛麻醉。比较两组的麻醉效果。结果 术毕清醒时、术后10 min,观察组的呼吸频率、心率及平均动脉压均高于对照组(P<0。05)。术后4、8、12、24 h,观察组的视觉疼痛模拟量表(VAS)评分低于对照组(P<0。05);术后4、8、12 h,观察组的Ramsay镇静评分低于对照组(P<0。05)。术后4、8、12 h,观察组的舒适度量表(BCS)评分高于对照组(P<0。05)。术后 12、24 h,观察组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均低于对照组(P<0。05)。两组的不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 100 mg氟比洛芬酯+10 mg地佐辛在老年宫腔镜手术超前镇痛中的应用效果较好。
Application effect of different doses of flurbiprofen axetil combined with dezocine on preemptive analgesia in elderly patients undergoing hysteroscopic surgery
Objective To investigate the application effect of different doses of flurbiprofen axetil combined with dezocine on preemptive analgesia in elderly patients undergoing hysteroscopic surgery.Methods A total of 136 elderly patients undergoing hysteroscopic surgery from February 2022 to February 2023 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 68 cases in each group.The control group was anesthetized with 50 mg flurbiprofen axetil combined with dezocine,and the observation group was anesthetized with 100 mg flurbiprofen axetil combined with dezocine.The anesthetic effects of the two groups were compared.Results At the time of waking up and 10 min after operation,the respiratory rate,heart rate and mean arterial pressure in the observation group were higher than those in the control group(P<0.05).At 4,8,12 and 24 h after operation,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group(P<0.05);at 4,8 and 12 h after operation,the Ramsay sedation score of the observation group was lower than that of the control group(P<0.05).At 4,8 and 12 h after operation,the Bruggrmann Comfort Scale(BCS)score of the observation group was higher than that of the control group(P<0.05).At 12 and 24 h after operation,the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The 100 mg flurbiprofen axetil + 10 mg dezocine on preemptive analgesia in elderly patients undergoing hysteroscopic surgery has better application effect.

flurbiprofen axetildezocinehysteroscopic surgerypreemptive analgesia

肖远航

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郑州市妇幼保健院麻醉科,河南 郑州,450012

氟比洛芬酯 地佐辛 宫腔镜手术 超前镇痛

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
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