医学研究与教育 ›› 2015, Vol. 32 ›› Issue (5): 39-41.DOI: 10.3969/j.issn.1674-490X.2015.05.010

• 临床研究 • 上一篇    下一篇

舒芬太尼硬膜外超前镇痛对术后疼痛的影响

解素勇,聂津,张建红,王奕芳,邵伟,张鑫,李红良,宋丽娟   

  1. 河北省唐县人民医院麻醉科,河北 唐县 072350
  • 出版日期:2015-10-25 发布日期:2015-10-25
  • 作者简介:解素勇(1982—),男,河北唐县人,主治医师,主要从事临床麻醉研究。E-mail: 310169789@qq.com
  • 基金资助:
    保定市科学技术研究与发展计划项目(14ZF078)

Analysis on induced abortion among adolescents (Report of 167 cases)

XIE Suyong, NIE Jin, zHANG Jianhong, WANG Yifang, SHAO Wei, ZHANG Xin, LI Hongliang, SONG Lijuan   

  1. Department of Anesthesia, The People’s Hospital of Tangxian County, Tangxian 072350, China
  • Online:2015-10-25 Published:2015-10-25

摘要: 目的 探讨舒芬太尼硬膜外超前镇痛对剖宫产术后疼痛的影响。方法 选择行硬膜外麻醉的剖宫产患者 120 例,ASA Ⅰ~Ⅱ级。A 组即舒芬太尼硬膜外超前镇痛组,B 组即舒芬太尼静脉超前镇痛组,C 组即未做超前镇痛组。分别于术后各时间点观察视觉模拟评分法(VAS)评分、镇静评分(Ramsay)和术后恶心呕吐的发生率。结果 术后各时点 VAS、Ramsay 评分、恶心呕吐的发生率比较,A 组优于 B、C 组,差异具有统计学意义(P<0.05)。结论 舒芬太尼硬膜外超前镇痛明显减轻术后疼痛 , 恶心呕吐发生率低,患者满意度高,值得临床推广。

关键词: 舒芬太尼 , 硬膜外, 剖宫产, 超前镇痛 , 患者满意度

Abstract: Objective To investigate the effects of sufentanil in relieving postoperative pain on the persons who had received epidural anesthesia. Methods One hundred and twenty ASAⅠ-Ⅱ pregnant women undergoing epidural anesthesia were enrolled in this study. They were divided into 3 groups: The ones who had epidural anesthesia with Sufentanil (group A). The ones who had intravenous anesthesia with Sufentanil in advance (group B) and the ones without any preemptive analgesia (group C). The visual analogue scale (VAS) score, sedation score (Ramsay), and the incidence of postoperative nausea and vomiting were observed respectively at each time point. Results Depending on visual analogue scale (VAS) and score sedation scores (Ramsay) at each time point and the incidence of postoperative nausea and vomiting, the results of group A were better than that of group B and C, the difference had statistical significance (P<0.05). Conclusion Sufentanil can reduce the pain which the person had epidural anesthesia obviously, it can also be good to reduce the incidence of postoperative nausea and vomiting. The patients are satisfied with this approach, which is worthy widely applied in clinical practices.

Key words: Sufentanil, epidural, cesarean delivery, preemptive analgesia, patient satisfaction

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