首页|舒芬太尼与右美托咪定在术后镇痛中的应用效果研究

舒芬太尼与右美托咪定在术后镇痛中的应用效果研究

扫码查看
目的 探讨术后镇痛中应用舒芬太尼与右美托咪定的效果.方法 98 例全身麻醉手术患者,按照盲抽法分为对照组与实验组,各 49 例.两组患者均在手术前使用舒芬太尼进行麻醉,对照组患者术后使用舒芬太尼镇痛,实验组患者术后则使用舒芬太尼+右美托咪定进行镇痛.对比两组患者相关时间指标(气管拔除时间、自主呼吸恢复时间、意识清醒时间),术后疼痛评分,并发症发生情况.结果 实验组患者的气管拔除时间、自主呼吸恢复时间、意识清醒时间分别为(9.53±3.57)、(10.21±3.86)、(31.57±5.82)min,均短于对照组的(14.67±4.62)、(13.86±4.21)、(49.46±6.34)min,差异具有统计学意义(P<0.05).实验组患者术后 2、12、24 h的疼痛评分分别为(5.26±1.34)、(2.43±0.62)、(1.37±0.52)分,均低于对照组的(6.43±1.57)、(3.85±0.97)、(2.72±0.75)分,差异具有统计学意义(P<0.05).实验组患者的并发症发生率为 6.12%(3/49),显著低于对照组的 20.41%(10/49),差异具有统计学意义(P<0.05).结论 舒芬太尼与右美托咪定在术后镇痛中的疗效显著,不仅可以帮助患者改善相关临床指标,而且在降低疼痛度与并发症发生率方面发挥着重要作用,可值得大力借鉴与推广.
Study on application effect of sufentanil and dexmedetomidine in postoperative analgesia
Objective To exolore the effect of sufentanil and dexmedetomidine in postoperative analgesia.Methods 98 patients with general anesthesia were divided into a control group and an experimental group,with 49 cases in each group.Patients in both groups were anesthetized with sufentanil before surgery,patients in the control group received sufentanil for postoperative analgesia,and patients in the experimental group received sufentanil + dexmedetomidine for postoperative analgesia.The relevant time indexes(tracheal extraction time,time to recovery of spontaneous breathing,awake time),postoperative pain score and complications were compared between the two groups.Results The tracheal extraction time,time to recovery of spontaneous breathing and awake time of patients in the experimental group were(9.53±3.57),(10.21±3.86)and(31.57±5.82)min,which were shorter than(14.67±4.62),(13.86±4.21)and(49.46±6.34)min in the control group,and the difference was statistically significant(P<0.05).The pain scores of the experimental group were(5.26±1.34),(2.43±0.62)and(1.37±0.52)points at 2,12 and 24 h after surgery,which were lower than(6.43±1.57),(3.85±0.97)and(2.72±0.75)points of the control group.The difference was statistically significant(P<0.05).The complication rate of the experimental group was 6.12%(3/49),which was significantly lower than 20.41%(10/49)of the control group,and the difference was statistically significant(P<0.05).Conclusion The efficacy of sufentanil and dexmedetomidine in postoperative analgesia is significant,which can not only help patients improve relevant clinical indicators,but also play an important role in reducing pain intensity and complication rate,which is worthy of great reference and promotion.

Clinical anesthesiaPostoperative analgesiaSufentanilDexmedetomidine

任晓亮

展开 >

271100 济南市中西医结合医院麻醉科

临床麻醉 术后镇痛 舒芬太尼 右美托咪定

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
  • 15