Elderly patients with a Lappaconitine fentanyl for intravenous postoperative analgesia.docVIP

Elderly patients with a Lappaconitine fentanyl for intravenous postoperative analgesia.doc

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Elderly patients with a Lappaconitine fentanyl for intravenous postoperative analgesia

 PAGE \* MERGEFORMAT 2 Elderly patients with a Lappaconitine fentanyl for intravenous postoperative analgesia [Keywords:] intravenous fentanyl analgesia Postoperative analgesia with intravenous fentanyl and the extensive application of analgesic effect of patients were satisfied, but because of high-dose intravenous analgesic fentanyl caused nausea, vomiting, skin itching, urinary retention, drowsiness, etc. a higher incidence of adverse reactions, especially for elderly patients to clinical application is limited. Hospital in January-October 2007, abdominal surgery in the elderly will be of fentanyl and hydrobromide Lappaconitine combined, and compared with the simple use of fentanyl were observed analgesic effects and adverse events rate. 1 Data and methods 1.1 General Information Select ASA Ⅰ ~ Ⅱ grade elective abdominal surgery patients aged 60 cases, male 32 cases, female 28 cases; aged 65 to 80 years of age; weight of 50 ~ 78kg. Types of operation: 22 cases of patients with gastric cancer, rectal cancer radical surgery in 18 cases, colon cancer, radical surgery in 10 cases, wide excision of the uterus pelvic lymph node dissection in 10 cases. Gagra Siqiong fentanyl group were randomly divided into (A group) and fentanyl heightening lappaconitine Gagra Siqiong group (B group) of 30 cases. A group including 10 cases of gastric cancer, colon in 5 cases, 10 cases of rectal cancer, cervical (endometrial) cancer, 5 cases; B group were 12,5,8,5 cases. Preoperative examination in patients with non-severe respiratory, circulatory diseases and serious liver and kidney disease. Preoperative visits the church when the VAS score in patients with foot. Between the two groups of patients with sex, age, body weight difference was not significant (P

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