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两种镇痛药在腹式全子宫切除术后静脉自控镇痛效果的探讨

白艳辉,李爱军   

  1. 河北省保定市第一中心医院,河北省保定市第一中心医院
  • 收稿日期:2017-03-07 修回日期:2017-08-12 出版日期:2017-09-25

Effect of Two Kinds of Analgesic Drugs on Patient-Controlled Intravenous Analgesia after Abdominal Hysterectomy

白艳辉 and Li-aijun   

  1. Baoding First Central Hospital,Baoding First Central Hospital
  • Received:2017-03-07 Revised:2017-08-12 Online:2017-09-25

摘要: 【摘要】目的:探讨舒芬太尼、羟考酮在腹式全子宫切除患者术后静脉自控镇痛(PCIA)中的效果。方法:106例行腹式全子宫切除术患者随机分为两组,各53例。实施PCIA,A组用舒芬太尼;B组用羟考酮。于术后4h、12h、24h、48h记录两组患者VAS评分、PCIA按压次数及不良反应。结果:与A组比较,B组VAS评分、12~24h和24~48h时间段PCIA按压次数、不良反应发生率均明显好于A组(P<0.05)。结论:羟考酮与舒芬太尼相比,可改善腹式全子宫切除患者术后PCIA效果。

Abstract: 【ABSTRACT】Objective:To investigate the effect of sufentanil and oxycodone in abdominal hysterectomy in patients with postoperative patient-controlled intravenous analgesia (PCIA) in effect.Methods: 106 patients with abdominal hysterectomy were randomly divided into two groups, each with a total of 53 cases. The implementation of PCIA, A group with sufentanil group B with oxycodone. 4h, 12h, 24h, 48h were recorded in two groups of patients with VAS score, PCIA times and adverse reactions. Results: Compared with the A group, the VAS score, 12~24h and 24~48h time of the PCIA group and the incidence of adverse reactions in B group were significantly better than those in group A (P<0.05). Conclusion: Oxycodone and sufentanilcompared, can improve the effect of abdominal hysterectomy in patients with PCIA after operation.