不同剂量舒芬太尼用于盆科肿瘤术后镇痛观察

The Observation on Postoperative Analgesia with Sufentanil of Different Doses for Pelvic Tumor

  • 摘要: 目的: 比较下同剂量舒芬太尼与芬太尼对照用于盆科肿瘤术后镇痛的量效关系. 方法: 选择60例ASAI-Ⅱ级患音,随机分为芬太尼对照组,舒芬太尼试验Ⅰ组和试验Ⅱ组.分别记录术后4h、8h、12h、24h、48h、72h的心率、呼吸、动态及静态疼痛评分、血氧饱和度、镇静程度及下良反应. 结果: 三组间心率、呼吸、Sp02无统计学差异(P>0.05)试验Ⅰ组与时照组的镇痛效果无统计学差异(P>0.05),而试验Ⅱ组与对照组的镇痛效果有统计学差异(P<0.O5).三组均未见严重下良反应. 结论: 舒芬太尼用于盆科肿瘤术后镇痛效果优于芬太尼,安全可靠.

     

    Abstract: Objective :To Compare the effect of postoperative analgesia on Sufentanil with different doses, after surgical operation on pelvic tumor. Methods :Sixty patients of ASA I-flgrade,scheduled to undergo pelvis tumor operations, were randomly divided into three groups, i.e. Group Fentanyl (F 0.3ug/kg/h), Group Sufentanil I (S1, the ratio with Fentanyl is 1:10) and Group Sufentanil (S2, The ratio with Fentanyl is 1:8). The following parameters were recorded: heart rate, breath, VAS, Sp02, calm score and side effect at 4 h, 8 h, 12 h, 24 h, 48 h and 72 h after surgery. Results :No significant difference was found in heart rate, Spot and breath bamong the three groups (P>0.05). No significantly difference were found in VAS between group F and group S1 (P>0.05), but the VAS was decreased significantly in group S2 (P<0.05). The calm scwas higher in group S1 and S2 than in groupF. No serious side effecet was found in the three groups. Conclusions :The effect of Sufentanil is better than that of Fentanyl in application of postoperative analgesia for pelvic tumor.

     

/

返回文章
返回