摘要
目的比较布托啡诺与芬太尼用于患者自控静脉镇痛(PCI)的临床价值。方法选择80例择期手术患者随机分为两组,N组(布托啡诺组:n=40):布托啡诺8mg、生理盐水加至100ml;F组(芬太尼组:n=40):芬太尼0.8mg、生理盐水加至100ml。选择负荷剂量加维持剂量即微泵连续给药方式行静脉镇痛(持续注药速度为2.0ml/h,单次PCA剂量为1ml,锁定时间30min)。结果 N组与F组相比,镇痛评分、镇静评分、恶心呕吐、尿潴留发生率均无显著差异性(P>0.05)。两组患者均无发生呼吸抑制。结论布托啡诺用于术后静脉镇痛,效果确切、不良反应少。
Objective To compare the effects of patient2controlled intravenous analgesia（ PC I A） be- tw een butorphanol tartrate （ B T） and fentanyl. Methods Eghity patients were divided into t o group s at ran- dom. Group N was adm inistered with 8 mg of B T in 100 ml of saline, and Group F with 0. 8 rag of fentanyl in 100 ml of saline. The loading dosage and maintained do sage wereused as venous analgesia. Results There were no significant differences in visual ache sim ulation （ VA S） scoring, syrup tom s and urine retention be- tween B T and fentanyl without respiratory. Conclusion BT m ight be used as an analgetic agent after opera- tion with good effect.
出处
《中国实用医药》
2010年第19期43-44,共2页
China Practical Medicine
关键词
术后静脉镇痛
布托啡诺
芬太尼
Postoperative intravenous analgesia
Butorphanol tartrate
Fentanyl
