| 舒芬太尼在胆囊切除术后镇痛的临床效果观察 |
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| 引用本文： | 郎洁,王方,刘佳,钱正,郭媛媛.舒芬太尼在胆囊切除术后镇痛的临床效果观察[J].现代生物医学进展,2010,10(24). |
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| 作者姓名： | 郎洁 王方 刘佳 钱正 郭媛媛 |
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| 作者单位： | 1. 南京医科大学附属南京第一医院药剂科,江苏,南京,210006
2. 南京东南大学附属中大医院药剂科,江苏,南京,210009 |
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| 摘 要： | 目的:探讨舒芬太尼在开腹胆囊切除术后病人自控静脉镇痛(PCIA)的效果和安全性。方法:60例全麻开腹胆囊切除术病人随机分为舒芬太尼(Suf)组和芬太尼(Fen)组,各30例。分别使用舒芬太尼或芬太尼进行PCIA,不给负荷量。记录术后0h、4h、12h、24h、40h各时间点的疼痛评分、镇静评分,PCA按压次数、并发症和病人的满意度等。结果:Suf组4h、12h、24hVAS评分明显低于Fen组(P<0.05),其它点差异无统计学意义(P>0.05);Suf组各时间点镇静评分均小于Fen组(P<0.05);Suf组PCA按压次数显著低于Fen(P<0.05);两组并发症发生率无统计学差异(P>0.05);Suf组病人对PCIA满意率显著高于Fen组(P<0.05)。结论:舒芬太尼用于开腹胆囊切除术后PCIA,镇痛安全有效,镇痛镇静效果优于芬太尼。
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| 关 键 词： | 开腹胆囊切除 病人自控静脉镇痛 舒芬太尼 芬太尼 |
Comparison of sufentanil and fentanyl for analgesia after cholecystectomy surgery |
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| LANG Jie,WANG Fang,LIU jia,QIAN Zheng,GUO Yuan-yuan.Comparison of sufentanil and fentanyl for analgesia after cholecystectomy surgery[J].Progress in Modern Biomedicine,2010,10(24). |
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| Authors: | LANG Jie WANG Fang LIU jia QIAN Zheng GUO Yuan-yuan |
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| Institution: | LANG Jie1,WANG Fang2,LIU jia1,QIAN Zheng1,GUO Yuan-yuan1(1 Department of Pharmacy,Nanjing First Hospital afficated to Nanjing Medical University,Nanjing 210006,Jiangsu Province,China,2 Department of Pharmacy,Nanjing ZhongDa University Hospital,Nanjing 210009,China) |
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| Abstract: | Objective: To investigate the clinical efficacy and safety of sufentanil for patient controlled intravenous analgesia(PCIA) after cholecystectomy surgery.Methods: A total of 60 patients,undergoing anesthesia open cholecystectomy,were divided into sufentanil(Suf) group(n=30) and fentanyl(Fen) group(n=30).The sufentanil or fentanyl was used respectively via PCIA and no loading dose was administered.Visual analogue scale(VAS) and sedation score were recorded 0h,4h,12h,24h,40h after PCIA.The change of circulati... |
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| Keywords: | Maxillofacial surgery Patient controlled intravenous analgesia Sufentanil Fentanyl |
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