摘要
目的：观察地佐辛用于功能性鼻内窥镜术后患者自控静脉镇痛（PCIA）的效果。方法：64例行功能性鼻内镜术后患者,年龄18～62岁,体重50～88kg,随机分为地佐辛镇痛组（D组）和舒芬太尼镇痛组（S组）,各32例;两组患者术后均行PCIA,观察两组患者术后镇痛期间相关时间点的VAS、MCS、Ramsay评分及不良反应发生事件。结果：术后16h及24h,D组MCS评分高于S组（P〈0.05）,其他时间点VAS、MCS和Ramsay评分两组比较无统计学差异（P〉0.05）,D组不良反应发生率低于S组（P〈0.05）。结论：鼻内窥镜术后患者应用两种药物镇痛效果相似,地佐辛镇痛副作用低于舒芬太尼。
Objective： To observe the effects of patient-controlled intravenous analgesia（PCIA） with dezocine after functional nasal endoscope. Methods： 64 cases after functional endoscopic sinus surgery, age 18 ～ 62 years of age, body weight 50 ～ 88 kg, randomly were divided into dezocine analgesia group（Group D） and sufentanil group（Group S）, 32 cases in each. All patients of two groups underwent the PCIA, the VAS, MCS, Ramsay Sedation score and adverse reactions incident was observed during the relevant time. Results： The MCS scores of group D were higher than that of group S in 16 and 24 hours after surgery（P〈0.05）, the VAS, MCS and Ramsay score between the two groups in other time point had no significant difference（P〉0.05）. The adverse reactions rate of group D was lower than group S（P〈0.05）. Conclusion： There were no significant differences in analgesia effects between two groups,but dizocine group has less side effects than sufentainyl group.
出处
《中国医药导刊》
2015年第7期699-700,共2页
Chinese Journal of Medicinal Guide
关键词
地佐辛
舒芬太尼
鼻内窥镜
静脉镇痛
患者自控
Dizocine
Sufentanyl
Endoscopic Sinus
Intravenous Analgesia
Cotrolled by Patient
