Fentanyl for flurbiprofen in patients with thoraco-abdominal injuries after controlled intravenous analgesia.docVIP

 PAGE \* MERGEFORMAT 15 Fentanyl for flurbiprofen in patients with thoraco-abdominal injuries after controlled intravenous analgesia Of: Li Huan, Jichun Yang, Kang Xin, Wang Zhou, Yuan Xiaolin [Abstract] Objective To observe flurbiprofen thoracoabdominal injuries combined with fentanyl for patient-controlled intravenous analgesia after surgery (Patient-controlled renous analgesia, PCIA) clinical analgesic effects. Methods after thoraco-abdominal injuries 84 patients were randomly divided into fentanyl group (A group), flurbiprofen group (B group), flurbiprofen combined with high dose fentanyl group (C group), flurbiprofen United low-dose fentanyl group (D group), 21 patients in each group. A group, fentanyl 0.5 mg +0.9% NaCl were 100 mL; B group, flurbiprofen axetil 50 mg +0.9% NaCl were 100 mL; C, fentanyl 0.5 mg + flurbiprofen 50 mg +0.9% NaCl were 100 mL; D group, fentanyl 0.25 mg + flurbiprofen 50 mg +0.9% NaCl were 100 mL. were observed in each group 3,6,12,24 h postoperative visual analogue pain score within (VAS), Ramesay sedation scores, controlled analgesia (PCIA) press times, analgesic satisfaction, and adverse reactions. Results C and D patients pain at different time points after VAS, Ramesay score slightly lower than the frequency of use A and B, a statistically significant difference (P lt;0.05); with the C group, D group VAS, Ramesay no significant difference in sedation scores, but self-control analgesia (PCIA) significantly reduced the number of press (P lt;0.05). C group and D group were nausea, vomiting, drowsiness were lower than A group and B group. analgesia satisfaction of group C and D grade , for many, A group and B group , -level majority. CONCLUSION patients after thoracoabdominal injuries combined with flurbiprofen axetil, and compared the analgesic effect of fentanyl alone opioid (fentanyl) or non- steroidal anti-inflammatory drugs (flurbiprofen vinegar) is better, and can significantly reduce the amount of fentanyl and the i