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目的 观察曲马多术后静脉镇痛的临床效应。方法 60例(ASAⅠ-Ⅱ)手术患者随机分成二组:Ⅰ组(n=30),镇痛药液为曲马多800mg加氟哌利多100mg,经生理盐水稀释至100ml;Ⅱ组(n=30),镇痛药液为芬太尼0.8mg加氟哌利多10mg,经生理盐水稀释至100ml。选用Baxter-49002型镇痛泵,选择负荷剂量加持续剂量(微泵连续给药模式)。结果 Ⅰ组患者循环、呼吸变化同用药前比较无明显差异(P>0.05),镇痛效应VAS评分差异无显著性意义(P>0.05)。结论 术后静脉镇痛用曲马多是可行的。“,”Objective To determine the clinical effect of intravenous tramadol on postoperative analgesia.Method sixty (ASA physical status Ⅰ or Ⅱ)adult patients were randomly divided into two groups.In group Ⅰ(n=30)tramadol 800mg and droperidol 10mg were diluted to 100ml in normal saline,while in group Ⅱ(n=30)fentanyl 0.8mg and droperidol 10mg were diluted to 100ml in normal saline.Baxter-4900 type analgesia pump was chosen for this study.Loading dose was given followed with continuous pump infusion.Result ①There were no significant differences in BP,HR and SpO2 after tramadol was used when Compared with those before tramadol was administared(P>0.05).②There was no significant difference in VAS between both groups(P>0.05).Conclusion Intravenous tramadol is effective on postoperative analgesia.