摘要
目的探讨地佐辛联合舒芬太尼用于人工髋关节置换术后PCIA镇痛治疗效果及对患者心境状态的影响。方法选取2014年6月—2016年7月150例人工髋关节置换术患者,按随机分组法将所有患者分为地佐辛组(D组),舒芬太尼(S组)及地佐辛组+舒芬太尼(DS组),每组各50例。比较3组患者术后各时间点VAS评分、Ramsay镇静评分及治疗前后心境状态。结果 D组患者术后各时间点VAS评分显著高于S组和DS组,差异有统计学意义(P<0.05)。DS组患者术后各时间点Ramsay镇静评分显著高于S组和D组,差异有统计学意义(P<0.05)。治疗后DS组患者的焦虑和抑郁情况显著优于D组和S组,差异有统计学意义(P<0.05)。结论地佐辛联合舒芬太尼用于人工髋关节置换术后PCIA镇痛镇静效果显著,且能保持患者良好的心境状态,值得临床推广。
Objective To investigate the effects of dezocine combined with sufentanil on analgesia and mood state in patients with PCIA pain treatment after hip arthroplasty. Methods From June 2014 to July 2016 , 150 patients with artificial hip replacement were selected in our hospital. According to the random method all patients were divided into dezocine group （D group） , sufentanil （group S） and dezocine combined with sufentanil group （DS group） , each group got 50 cases. The VAS scores of three groups at each time point after operation, the Ramsay sedation score at each time point after treatment, the pain threshold before and after treatment, and the state of mind before and after treatment were compared. Results The VAS score of patients in D group at each time point was significantly higher than that in S group and DS group （P 〈0. 05）. The Ramsay sedation score of DS group at each time point was significantly higher than that of S group and D group （P 〈 0. 05 ） . After treatment, the decrease of DS group was significantly lower than that of D group and S group （P 〈 0. 05 ） . After treatment, the anxiety and depression of patients in group DS were significantly better than those in D group and S group （P 〈 0. 05 ） . Conclusion Dezocine combined with sufentanil for PCIA after hip arthroplasty achieve ideal analgesic and sed-ative effects, and can keep the patients in good state of mind.
出处
《现代医院》
2017年第8期1210-1212,共3页
Modern Hospitals
基金
广东省科技计划项目(编号:2013B021800091)
关键词
地佐辛
舒芬太尼
人工髋关节置换术
自控静脉镇痛
Dezocine
Sufentanil
Artificial Hip Replacement
Patient - Controlled Intravenous Analgesia
