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右美托咪定联合地佐辛应用于腹部手术患者的自控镇痛临床价值 被引量:2

Clinical value of controlled analgesiaof dexmedetomidine combined with dezocine in abdominal surgery
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摘要 目的探讨右美托咪定联合地佐辛应用于腹部手术患者的自控镇痛临床价值.方法选取本院 2 0 1 4年 1 月-2015 年 10 月收治的行腹部手术患者 81例作为研究对象,将所有研究对象随机分为对照组 4 0例和观察组 4 1 例 ,对照组患者静 脉注射地佐辛干预镇痛,观察组患者在此基础上联合右美托咪定静脉注射,观察两组患者的自控镇痛效果,进行临床对照性 分析.结果 观察组 Ramsya评分、 VAS评分均明显优于对照组,结果具有显著性差异( P〈0 . 0 5 ) ;对照组不良反应发生率 7. 50% ,观察组不良反应发生率 34. 15% ,观察组不良反应发生率明显低于对照组( P〈0. 0 5 ). 结论 右美托咪定联合地佐辛 可有效降低腹部手术患者的疼痛感,具有良好的镇静效果,值得推广. Objective To investigate the clinical value of controlled analgesia of dexmedetomidine combined with dezo-cine in patients undergoing abdominal surgery. Methods A total of 81 patients underwent abdominal surgery from January 2014 to October 2015 were randomized into the control group (n = 40) and observation group (n = 41). The control group was trea-ted with intravenous administration of dezocine for analgesia. The observation group received intravenous administration of dexmedetomidine combined with dezocine. The effect of controlled analgesic was investigated and compared between the two groups. Results The Ramsya score and VAS score of the observation group were significantly better than the control group (P 〈0 . 05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (7. 50% vs 34. 15% , P〈0 . 05). Conclusion Dexmedetomidine combined to dezocine can effectively reduce the pain of abdomi-nal surgery patients. The combined treatment has a good analgesic effect, worthy of clinical application.
作者 张二辉
出处 《临床研究》 2017年第9期91-93,共3页 Clinical Research
关键词 右美托咪定 地佐辛 腹部手术 自控镇痛 Dexamethasone dezocine abdominal surgery controlled analgesia
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