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地佐辛在神经外科术后镇痛的应用体会
引用本文:陶伟平,张弛,葛培青,叶昭君,张依爵,于士剑.地佐辛在神经外科术后镇痛的应用体会[J].现代生物医学进展,2013(2):272-274,322.
作者姓名:陶伟平  张弛  葛培青  叶昭君  张依爵  于士剑
作者单位:上海复旦大学附属华山医院静安分院麻醉科,上海200040
摘    要:目的:探讨地佐辛用于神经外科患者术后镇痛的效果和安全性。方法:将64例ASAⅠ~Ⅱ级行神经外科手术患者随机分为两组,术后均以静脉自控镇痛(PCIA),其中A组(34例)用地佐辛,B组(30例)用舒芬太尼,观察两组镇痛、镇静效果及不良反应。结果:术后4 h、8 h、12 h、24 h视觉模拟评分(VAS)和不良反应发生率A组明显低于B组(P〈0.05),Ramsay评分明显高于B组(P〈0.05)。结论:地佐辛用于神经外科患者术后镇痛确切,不良反应少。

关 键 词:神经外科  术后镇痛  地佐辛  舒芬太尼  效果

The Experience of Postoperative Analgesia about Dezocine in the Neurosurgery
TAO Wei-ping,ZHANG Chi,GE Pei-qing,YE Zhao-jun,ZHANG Yi-jue,YU Shi-jian.The Experience of Postoperative Analgesia about Dezocine in the Neurosurgery[J].Progress in Modern Biomedicine,2013(2):272-274,322.
Authors:TAO Wei-ping  ZHANG Chi  GE Pei-qing  YE Zhao-jun  ZHANG Yi-jue  YU Shi-jian
Institution:(Department of anesthesiology, Jing'an Hospital of Huashan, affiliated of Fudan University, Shanghai, 200040, China)
Abstract:Objective: To investigate the efficacy and safety of Dezocine on neurosurgical patients. Methods: 64 cases of ASA Ⅰ Ⅱ level line in nettrosurgical patients were randomly divided into two groups, postoperative land Zuoxin of which were controlled intravenous analgesia (PCIA), group (34 cases), group B (30 cases) Shufenfentanyl, were observed analgesic, sedative effects and adverse reactions, Results: There was a statistical significant (P〈0.05) in the VAS score in the postoperative 4 h, 8 h, 12 h, 24 h, and there was a statistical significant (P 〈0.05) in the incidence of adverse reactions and Ramsay score.The A group was all better than the B group. Conclusions: The analgesia efficacy was definite that Dezocine was used in the neurosurgical patients and with less adverse reaction.
Keywords:Neurosurgery  Postoperative analgesia  Dezocine  Sufentanil  Effect
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