医学研究与教育 ›› 2014, Vol. 31 ›› Issue (6): 46-48.

• 临床研究 • 上一篇    下一篇

舒芬太尼联合氟比洛芬酯用于下肢骨折患者术后镇痛的临床观察

张阿芳   

  1. 驻马店市中医院骨伤科,河南 驻马店 463000
  • 收稿日期:2015-06-03 修回日期:2015-06-03 出版日期:2014-12-25 发布日期:2014-12-25
  • 作者简介:张阿芳(1983—),女,河南上蔡人,主治医师,主要从事骨科临床研究。E-mail:1565906379@qq.com

Clinical observation on sufentanil combined with flurbiprofen in relieving postoperative analgesia in patients with lower limb fractures

ZHANG Afang   

  1. Department of Traditional Chinese Medicine , Zhumadian City Hospital, Zhumadian 463000, China
  • Received:2015-06-03 Revised:2015-06-03 Online:2014-12-25 Published:2014-12-25

摘要: 目的 观察舒芬太尼联合氟比洛芬酯在下肢骨折患者术后镇痛中的应用效果及不良反应。方法 择期行下肢骨折切开复位内固定术患者 60 例,按照随机数字表法分为 2 组,每组 30 例。2 组患者术后均使用一次性均速镇痛泵,观察组镇痛泵内药物配方应用舒芬太尼联合氟比洛芬酯,对照组镇痛泵内药物配方应用舒芬太尼,其他药物相同。记录术后 2 h、4 h、8 h、12 h、24 h 疼痛视觉模拟评分及不良反应情况。结果 2 组患者术后各时点疼痛视觉模拟评分组间比较差异无统计学意 义(P>0.05)。对照组患者恶心、呕吐、呼吸抑制、心动过缓、镇静过度等不良反应发生率明显高于观察组(P < 0.05 或0.01)。结论 舒芬太尼联合氟比洛芬酯应用于下肢骨折患者术后镇痛效果理想,安全性高

关键词: 舒芬太尼, 氟比洛芬酯, 下肢骨折, 术后镇痛

Abstract: Objective To investigate the application results and adverse reactions of sufentanil combined with flurbiprofen in relieving postoperative analgesia in patients with lower limb fractures. Methods 60 patients with lower extremity fractures underwent open reduction and internal fixation (ORIF) were selected in our hospital, according to a random number table they were divided into two groups, 30 cases in each group. The patients of the two groups were using disposable constant speed analgesia pump after operation, the observation group applying analgesia pump recipe sufentanil combined with flurbiprofen, the control group using sufentanil. Record pain visual analog scale and adverse reactions after operation for 2 h, 4 h, 8 h, 12 h, 24 h. Results There was not statistically significance considering analgesic effects in the 2 groups and the difference of point pain visual analog scale groups after operation (P> 0.05). The complications such as nausea, vomiting, respiratory depression, bradycardia, sedation and other adverse reactions in the controls were significantly higher than in the observation group (P <0.05 or 0.01). Conclusion Sufentanil combined with flurbiprofen is a safe and ideal analgesia medicine used in patients with lower limb fractures.

Key words: sufentanil, flurbiprofen, lower limb fractures, postoperative analgesia

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