骨科术后静脉镇痛采用地佐辛复合氟比洛芬酯的价值
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(湖南省中医药研究院附属医院,湖南 长沙 410006)

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李娜,女,主治医师,主要研究方向是临床麻醉。

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R 971+ .1

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Value Analysis of Intravenous Analgesia after Orthopedic Surgery with Dezocine Combined with Flurbiprofen Axetil
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(The Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine, Hunan Changsha 410006)

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    摘要:

    〔摘 要〕 目的:研究并分析骨科术后静脉镇痛采用地佐辛复合氟比洛芬酯的临床应用价值。方法:选取 2018 年 11 月 至 2020 年 1 月间于湖南省中医药研究院附属医院行全麻手术的 60 例骨科术后患者,按照随机抽签方式平均分成两组, 即对照组与观察组,各 30 例。手术结束前 30 min,观察组患者采用芬太尼复合地佐辛,对照组患者采用芬太尼;两组 患者清醒后,观察组采用氟比洛芬酯复合地佐辛,对照组采用芬太尼,统计并比较两组骨科术后患者镇痛效果及不良反 应发生情况。结果:观察组患者不良反应发生率显著低于对照组,差异具有统计学意义(P < 0.05)。两组患者术后各 时间视觉模拟评分法(VAS)评分、布鲁格曼舒适度量表(BCS)评分、Ramsay 镇静评分比较,差异均无统计学意义 (P > 0.05)。结论:针对骨科术后患者以地佐辛复合氟比洛芬酯用作静脉镇痛,可有效降低不良反应的发生率。

    Abstract:

    〔Abstract〕 Objective To study and analyze the clinical application value of intravenous analgesia with dezocine combined with flurbiprofen axetil after orthopedic surgery. Methods A total of 60 orthopedic postoperative patients who underwent general anesthesia in the Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine from November 2018 to January 2020 were selected and randomly divided into two groups, namely the control group (n = 30). ) And the observation group (n = 30). Thirty minutes before the end of the operation, the observation group was treated with fentanyl combined with dezocine, and the control group was treated with fentanyl; after the two groups were awake, the observation group was treated with flurbiprofen axetil plus dezocine, and the control group was treated with fentanyl Ni, statistics and comparison of the analgesic effect and adverse reactions of the two groups of orthopedic postoperative patients. Results The incidence of adverse reactions in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05). The visual analogue scale (VAS) score, Brugman comfort scale (BCS) score and Ramsay sedation score were compared between the two groups of patients at each postoperative time, and there was no significant difference (P > 0.05). Conclusion Dezocine combined with flurbiprofen axetil for intravenous analgesia in orthopedic patients can effectively reduce the incidence of adverse reactions.

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  • 收稿日期:2021-06-08
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  • 在线发布日期: 2021-12-02
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