舒芬太尼应用于静脉术后镇痛及临床麻醉的效果
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(郑州市惠济区人民医院,河南 郑州 450000)

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武干生,男,主治医师,主要研究方向是临床麻醉学、疼痛学。

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R 614

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The Effect of Sufentanil on Intravenous Postoperative Analgesia and Clinical Anesthesia
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(Huiji People's Hospital of Zhengzhou, Henan Zhengzhou 450000)

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    摘要:

    〔摘 要〕 目的:探讨舒芬太尼应用于静脉术后镇痛及临床麻醉的效果,以此为临床麻醉提供最佳用药方案参考。方法: 抽取 2017 年 1 月至 2018 年 12 月期间在郑州市惠济区人民医院接受全身麻醉手术的患者 100 例作为研究对象,按入院顺序 分组研究,先入院 50 例设为对照组选择芬太尼进行临床麻醉和术后镇痛,后入院 50 例设为观察组选择舒芬太尼进行临床 麻醉和术后镇痛,比较两组患者临床麻醉和镇痛的效果。结果:观察组患者术后视觉模拟评分法(VAS)评分与对照组比较, 差异无统计学意义(P > 0.05);观察组患者苏醒时间、恢复自主呼吸时间均比对照组短,差异具有统计学意义(P < 0.05); 观察组患者术后不良反应发生率(4 %)低于对照组(16 %),差异具有统计学意义(P < 0.05)。结论:舒芬太尼应用于 静脉术后镇痛及临床麻醉效果更为理想,可以取得与芬太尼相当的麻醉效果,而且不良反应更少,安全性更高。

    Abstract:

    〔Abstract〕 Objective To investigate the effect of sufentanil on intravenous postoperative analgesia and clinical anesthesia, so as to provide reference for the best medication plan for clinical anesthesia. Methods A total of 100 patients who underwent general anesthesia in the People's Hospital of Huiji District, Zhengzhou City from January 2017 to December 2018 were selected as the research objects. The study was divided into groups according to the order of admission. The first 50 patients were admitted as the control group and clinical anesthesia and postoperative analgesia were performed by using sufentanil, and 50 cases after admission were set as the observation group. and sufentanil was selected for clinical anesthesia and postoperative analgesia, and the effects of clinical anesthesia and analgesia between the two groups were compared. Results Compared with the control group, the visual analogue scoring (VAS) score of the observation group was not statistically different (P > 0.05); the time to wake up and the time to regain spontaneous breathing in the observation group were shorter than those of the control group, and the differences were both statistically significant (P < 0.05); the incidence of postoperative adverse reactions in the observation group (4%) was lower than that in the control group (16%), and the difference was statistically significant (P < 0.05). Conclusion Sufentanil is more effective for intravenous postoperative analgesia and clinical anesthesia. It can achieve anesthesia effect equivalent to fentanyl, with fewer adverse reactions and higher safety.

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  • 收稿日期:2021-06-17
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  • 在线发布日期: 2021-12-06
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