不同超前镇痛时点应用地佐辛对前列腺癌根治术后镇痛效果的影响

    Effect of dezocine at different time points on postoperative analgesia in patient treated with radical prostatectomy

    • 摘要: 目的:比较不同超前镇痛时间点应用地佐辛对前列腺癌根治术术后镇痛的作用效果。方法:将50例ASAⅠ~Ⅱ级择期前列腺癌根治术患者随机分为Ⅰ、Ⅱ组,Ⅰ组分别于麻醉诱导前10 min静脉给予地佐辛0.05 mg/kg,Ⅱ组于手术结束前10 min静脉给予地佐辛0.05 mg/kg。2组患者术后均采用芬太尼自控静脉镇痛(PCA)。观察术后12和24 h患者PCA的总按压次数和PCA有效按压次数,术后2、4、6、12和24 h采用视觉模拟评分(VAS评分)和舒适评分(BCS评分)评价患者的疼痛强度和满意度,同时观察2组患者术后不良反应。结果:与Ⅱ组比较,Ⅰ组术后12和24h的PCA总按压数和PCA有效按压数以及芬太尼使用量均降低(P<0.05~P<0.01);Ⅰ组患者术后2、4、6和12h的VAS评分均低于Ⅱ组,而BCS评分均高于Ⅱ组(P<0.01);2组术后不良反应发生率差异均无统计学意义(P>0.05)。结论:麻醉诱导前应用地佐辛进行超前镇痛联合芬太尼PCA具有良好术后镇痛效果,且能减少术后芬太尼的用量,不良反应少。

       

      Abstract: Objective:To compare the postoperative analgesia effects of dezocine at different time points on patients treated with radical prostatectomMethods:Fifty patients scheduled for the radical prostatectomy were randomly divided into Ⅰ group and Ⅱ group.The 0.05mg/kg of dezocine was intravenously injected in Ⅰ group at 10 min before anesthesia induction,the 0.05mg/kg of dezocine was intravenously injected in Ⅱ group at 10 min before the end of operation.The total and effective compression number of PCA after 12 and 24 hours of operation,and the Visual analog scale(VAS) scores and Bruggman comfort scale(BCS) scores after 2,4,6,12 and 24 hours of operation were observed.The postoperative adverse reactions in two groups were recorded.Results:The times of the total and effective compression of PCA after 12 and 24 hours of operation and use of fentanyl in Ⅰ group were lower than those in Ⅱ group(P<0.05 to P<0.01).The VAS scores after 2,4,6 and 12 hours of operation in Ⅰ group were lower than those in Ⅱ group,but the results of BCS scores were higher than the opposite(P<0.01).The difference of the incidence of adverse reaction was not statistical significance(P>0.05).Conclusions:The postoperative analgesia effects of dezocine combined with fentanyl PCA before anesthesia induction are good,which can decrease the use dose,which is little adverse reaction.

       

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