234例院前急救镇静镇痛的临床分析

234例院前急救镇静镇痛的临床分析

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-01-25

Clinical Analysis of 234 patients with Prehospital Emergency Sedation Analgesia

Received:1900-01-01 Revised:1900-01-01 Online:2012-01-25

摘要/Abstract

摘要： 目的:探讨院前急救适当的镇静镇痛观察患者心率(HR)、呼吸频率(R)、平均动脉压(MAP)的影响.方法:将院前急救需要镇痛的234例患者平均分为两组,在常规治疗的基础上,治疗组用舒芬太尼25ug,后以(0.01～0.03)μg/(kg?h)持续静注,对照组用吗啡5mg,缓慢静脉注射镇痛,两组均用丙泊酚20μg/(kg?h),缓慢静脉注射镇静,注射后10分钟观察镇痛疗效,镇痛后30分钟观察心率、呼吸频率,平均动脉压变化.结果:治疗组总有效率为93%,对照组总有效率为64%,治疗组明显高于对照组(P <0.05),两组患者镇痛后30分钟心率、呼吸频率,平均动脉压较基础值明显降低(P<0.05).结论:院前急救适当的镇静镇痛便于转运,利于急诊诊疗操作,血流动力学更稳定.

Abstract: Objective:The analgesic sedation analgesia and its affect on heart rate(HR),respiratory rate(R),mean arterial pressure(MAP)in the per hospital emergency.Methods:Two groups that need the analgesic treatment,besides regular treatment,the experimental group was given sufentanil 25ug and then intravenous injected at the rate(0.01~0.03)ug/(kg h),the control group given morphine 5mg by intravenous injection slowly,then compare HR,R,MAP after 10 minutes.Results:The efficiency of the experimental group is 93% that is obvious higher than the control 64%(P<0.05),the HR,R,MAP all significant fall from the basic line(P<0.05).Conclusion:The appropriate sedation analgesia of Prehospital emergency for transport,and emergency operation and the hemodynamic is more stable.

. 234例院前急救镇静镇痛的临床分析[J]. .

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