摘要
目的:探讨布托啡诺在食管癌术后患者自控静脉镇痛(PCIA)的临床效果。方法:选择笔者所在医院行开胸手术的食管癌患者56例,术后随机分为两组,每组28例。试验组患者术后采用采用布托啡诺镇痛;对照组应用曲马多镇痛。记录术后6、12、24、48h各时点的VAS评分、Ramsay评分、PCIA按压次数、患者的满意度及并发症。结果:两组各时点的VAS评分比较差异无统计学意义;试验组在术后6、12、24、48h各时点Ramsay评分均高于对照组(P<0.05);两组PCA按压次数比较差异无统计学意义;两组并发症发生率均较低,两组比较差异无统计学意义;试验组患者对PCIA满意率高于对照组(P<0.05)。结论:布托啡诺、曲马多用于食管癌术后PCIA安全有效,布托啡诺副反应较少,总体满意度及镇静方面优于曲马多。
Objective ： To analyses the effects of patient controlled intravenous analgesics（PCIA） with butorphanol in patients undergoing operation for esophagus cancer.Methods ： 56 eases of thoracic surgery in patients with esophageal cancer in our hospital, were randomly divided into two groups, with 28 eases in each group.The test group patients with analgesic, butorphanol analgesic tramadol control group. Record 6, 12, 24, 48 h after VAS scores at each time point, Ramsey score, PCIA pressing times, patient satisfaction and complications.Results ： No significant difference between the two groups at each time point VAS score compared, the test group in the postoperative 6, 12, 24, 48 h at each time point sedation scores were higher than that in the control group （P〈0.05） ; two sets of PCA pressing times the difference was not statistically significant ; lower complication rates of the two groups, the difference was not statistically significant ; the test patients the PCIA satisfaction rate higher than that in the control group （P〈0.05）.Conclusion ： Butorphanol, tramadol for postoperative esophageal cancer PCIA safe and effective, fewer side effects butorphanol, overall satisfaction and sedation than tramadol.
出处
《中外医学研究》
2012年第35期1-2,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
布托啡诺
曲马多
镇痛
Butorphanol
Tramadol
Analgesia
