摘要
目的:比较氯诺昔康和芬太尼分别用于腹腔镜手术后患者自控静脉镇痛的临床效应。方法:选择全麻下腹腔镜胆囊切除术的患者100例,术后行患者自控静脉镇痛(PCIA),并根据不同的用药方法随机分为两组,每组50例。芬太尼组(F组):芬太尼1mg+氟哌利多5mg;氯诺昔康组(L组):氯诺昔康80mg+氟哌利多5mg;两组均用生理盐水稀释到100ml。术后48h内的采用视觉模拟评分(VAS)、PCA按压次数、镇痛满意度评分来观察各组镇痛效应,并记录头晕、恶心、呕吐、皮肤瘙痒、嗜睡等不良反应的发生率。结果:两组患者术后48h内的视觉模拟评分(VAS)、PCA按压次数、镇痛满意度的比较差异无统计学意义(P>0.05),而F组头晕、恶心、呕吐、嗜睡的发生率显著高于L组(P<0.05)。镇痛期间无呼吸抑制、异常出血等严重并发症发生。结论:氯诺昔康复合氟哌利多用于患者自控静脉镇痛效果良好,术后恶心呕吐等副作用少,是腹腔镜手术后镇痛治疗的良好选择。
Objective To compare analgesic efficacy and complications of postoperative intravenous analgesia of lornoxicaml and fentanyl in celioscope cholecystectomy patients.Methods 100 patients undergoing total hysterectomy in general anesthesia were randomly divided into two groups with fifty cases each.Fentanyl 1mg +droperidol 5mg in group F,lornoxicam 80mg +droperidol 5mg in group L.The drugs in each group were diluted to 100ml by normaol saline and infused by pumps.The visual analog scale(VAS),times of PCA,patie...
出处
《实用医技杂志》
2008年第5期548-550,共3页
Journal of Practical Medical Techniques
关键词
氯诺昔康
芬太尼
镇痛
静脉
胆囊切除术
腹腔镜
Lornoxicam
Fentanyl
Analgesia
Intravenous
Cholecystectomy
Laparoscopic
