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中国现代手术学杂志  2018, Vol. 22 Issue (1): 77-80    DOI: 10.16260/j.cnki.1009-2188.2018.01.019
  临床论著 |
舒芬太尼用于腹腔镜宫颈癌根治术后靶控输注镇痛的临床效果
李鹏1,周伟1,袁永群2
1.湖北省武汉市蔡甸区人民医院麻醉科,武汉 430100; 2.华中科技大学同济医学院附属同济医院妇产科,武汉 430030
Clinical Effect of Sufentanil in TCI Analgesia after Laparoscopic Radical Hysteyectomy for Cervical Cancer
LI Peng1,ZHOU Wei1,YUAN Yong-qun2
1.Department?of?Anesthesiology,Caidian?People's?Hospital?of?Wuhan,Wuhan?430100,Hubei,China; 2.Department?of?Obstetrics?and?Gynecology,Tongji?Hospital,Tongji?Medical?College,Huazhong?University?of?Science?and?Technology,Wuhan430030,Hubei,China
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摘要 目的?探讨舒芬太尼用于腹腔镜宫颈癌根治术后TCI镇痛的临床效果。方法?选取2015年2月~2016年12月在我院行腹腔镜根治性子宫切除术的64例患者,随机分为观察组和对照组,每组32例,术后观察组和对照组患者分别采取TCI镇痛和自控镇痛两种方式进行术后镇痛。比较两组患者镇痛前、镇痛后1h、4h和8h的血气分析结果,以及镇痛前和镇痛后1h、6h、12h、24h、48h的镇痛效果和镇静效果,比较两组患者不良反应发生情况。结果?在镇痛前以及镇痛后1h、4h和8h,两组患者pH、PaO2和PaCO2三项血气指标均正常,且组间比较差异无统计学意义(P>0.05)。镇痛前两组患者VAS评分接近,差异无统计学意义(P>0.05),而镇痛后各时点观察组VAS评分均显著低于对照组,差异有统计学意义(P<0.05)。镇痛前和镇痛后48h两组间Ramsay评分比较,差异无统计学意义(P>0.05),其余时间点比较观察组评分均显著低于对照组,差异有统计学意义(P<0.05)。镇痛后16h内,观察组出现不良反应1例(3.13%),对照组6例(18.75%),两组患者不良反应发生率比较,差异有统计学意义(χ2=4.0100,P=0.0452)。结论?舒芬太尼用于腹腔镜宫颈癌根治术后TCI镇痛的镇痛效果和镇静效果较好,安全性较高,可临床推广。
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李鹏1,周伟1,袁永群2
关键词:  舒芬太尼  术后镇痛  靶控输注  宫颈癌  腹腔镜检查  根治性子宫切除术    
Abstract: Objective?To study the clinical efficacy of sufentanil in target controlled infusion (TCI) analgesia after laparoscopic radicalhysterectomy for cervical cancer.Methods?From February 2015 to December 2016,a total of 64 patients with cervical cancer who performed laparoscopic radicalhysterectomy in ourhospital were selected anddivided randomly into observation group and control group with 32 cases for each,and carried out TCI analgesia and patient-controlled analgesia respectively for analgesia after the operation.The blood gas analysis before and 1-,4- and 8h after analgesia,and the analgesic effects and sedative effects before and 1-,6-,12,24,48h after analgesia were compared between the two groups.The adverse reactions of the two groups were also compared.Results?The pH,PaO2?and PaCO2?indexes were normal in both groups before and 1-,4h and 8h after analgesia,and there was no statisticaldifference between the two groups (P>0.05).The VAS scores were similar without statisticaldifference in both two groups before analgesia(P>0.05).But the VAS score was obviously lower in the observation group than that in the control group atdifferent time point after the analgesia,and there was statisticaldifferences between two groups (P<0.05).There was no statisticaldifference in the Ramsay score before analgesia and 48h after analgesia between two groups (P>0.05),while significant statisticaldifference existed at other time points between two groups (P<0.05).The adverse reaction rate was 3.13% of the observation group and 18.75% of the control group,and there was statisticaldifference between two groups(χ2=4.0100,P=0.0452).Conclusion?The analgesic effect and sedative effect of sufentanil can achieve reliable effect in TCI analgesia after laparoscopic radical resection for cervical cancer,and it is worthy of being popularization.
Key words:  sufentanil    postoperative analgesia    target controlled infusion    cervical cancer    laparoscopy    radical hysterectomy
                    发布日期:  2018-08-13      期的出版日期:  2018-08-13
ZTFLH:  R614|R737.33  
基金资助: 2015-2016年度湖北省卫生计生西医类一般项目(WJ2015MB003)
通讯作者:  李鹏   
作者简介:  ?李鹏,女,42岁,湖北省武汉市蔡甸区人民医院麻醉科主治医师。
引用本文:    
李鹏1,周伟1,袁永群2. 舒芬太尼用于腹腔镜宫颈癌根治术后靶控输注镇痛的临床效果[J]. 中国现代手术学杂志, 2018, 22(1): 77-80.
LI Peng. Clinical Effect of Sufentanil in TCI Analgesia after Laparoscopic Radical Hysteyectomy for Cervical Cancer. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 77-80.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.01.019  或          http://www.surgerychina.com/CN/Y2018/V22/I1/77
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