论文部分内容阅读
目的对不同剂量的舒芬太尼用于小儿四肢骨科手术后的镇痛效果及安全性进行临床观察比较。方法将择期行四肢骨科手术的60例患儿随机分为三组,分别使用不同剂量的舒芬太尼进行术后静脉镇痛。A组舒芬太尼0.03 ug/(kg·h);B组舒芬太尼0.04 ug/(kg·h);C组舒芬太尼0.05ug/(kg·h)组。记录三组患儿各时点的镇痛评分、镇静评分及不良反应并进行比较。结果 A组各时间点的镇痛效果评分明显高于B组和C组(P<0.05);镇静效果评分A组各时间点明显低于B组和C组(分别为P<0.05和P<0.01);三组不良反应发生率差异无统计学意义(P>0.05)。结论应用0.04 ug/(kg·h)舒芬太尼在小儿四肢骨科手术后静脉镇痛效果满意且镇静适度、并发症少、安全可靠,值得临床推广使用。
Objective To compare the analgesic efficacy and safety of different doses of sufentanil used in pediatric orthopedic surgery. Methods Sixty children undergoing orthopedic surgery on the extremities were randomly divided into three groups, and different doses of sufentanil were used for postoperative intravenous analgesia. Group A sufentanil 0.03 ug / (kg · h); Group B sufentanil 0.04 ug / (kg · h); Group C sufentanil 0.05ug / (kg · h) group. The pain scores, sedation scores and adverse reactions of the three groups at each time point were recorded and compared. Results The scores of analgesia in group A were significantly higher than those in groups B and C (P <0.05). The scores of sedation in group A were significantly lower than those in groups B and C at each time point (P <0.05 and P < 0.01). There was no significant difference in the incidence of adverse reactions between the three groups (P> 0.05). Conclusion Sufentanil at 0.04 ug / (kg · h) is satisfactory and has moderate sedation after pediatric orthopedic surgery. It has less complications and is safe and reliable, which is worthy of clinical application.