文档介绍：布托啡诺与芬太尼用于剖宫产术后静脉镇痛(PCIA)
临床效果观察
Clinical Observation of Butorphanol And Fentanyl In PCIAFor Post Cesarean Section
王久荣徐朝辉林林陈志勇王子千
WANG Jiurong XU Chaohui LIN Lin CHEN Zhiyong WANG Ziqian
天津市第一医院(中国 300010)
Tianjin First Hospital(China 300010)
中图分类号:+4 文献标识码:A 文章编号;1818-0086(2008)05
摘要:目的观察布托啡诺用于剖宫产术后病人自控静脉镇痛效果与副作用。方法选择ASAI~II级足月单胎妊娠产妇40例,随机分为两组,布托啡诺组(B组)及芬太尼组(F组),均选择小剂量氯胺酮静脉全麻进行剖宫产手术。%。使用视觉模拟评分法(VAS)及镇静评分法Ramesay评分法,观察两组病人术后各时间段的疼痛评分、镇静评分以及术后恶心、呕吐情况。结果术后4h内两组VAS评分有显著差异,B组优于F组。两组术后各时间段的镇静评分:B组高于F组,其差异有显著性。两组术后48小时以内恶心、呕吐、嗜睡的发生率比较均无统计学差异。结论本研究观察表明,布托啡诺与芬太尼均是安全的镇痛剂,用于剖宫产的病人术后的静脉镇痛效果确切,副作用少,且布托啡诺用于剖宫产术后静脉镇静效果优于芬太尼。
关键词:布托啡诺;芬太尼;病人自控静脉镇痛(PCIA)
Abstract:Objectives to observe pare the efficacy and safety between butorphanol and fentanyl for post cesarean section with patient self-controlled intravenous analgesia(PCIA). Methods forty patients (ASAⅠ-Ⅱ) undergoing cesarean section with small dose ketamine intravenous anesthesia were randomly divided into two groups. B group were given Butorphanol 9mg in analgesic pump, and F group were given fentanyl . Postoperative pain was assessed using VAS (Visual Analogue Score), sedation grades was assessed using Ramesay Score and the side reactions, such as nausea, vomiting, were observed. Results the efficacy and safety between butorphanol and fentanyl for cesarean sec