Intravenous buprenorphine for postoperative analgesia 60 Cases of breast cancer.docVIP

 PAGE \* MERGEFORMAT 9 Intravenous buprenorphine for postoperative analgesia 60 Cases of breast cancer [Keywords:] buprenorphine, sufentanil, pain, breast cancer Good postoperative analgesia can inhibit the body’s stress response, helps to reduce postoperative complications and promote wound healing, accelerate patient recovery, is to ensure the success of surgical treatment and patient safety an important factor in rehabilitation. Analgesia for postoperative There are many methods and drugs, buprenorphine is gradually used in clinical, but the current route of administration of buprenorphine for postoperative analgesia by epidural or intramuscular more [1,2]. The venous output Note buprenorphine for postoperative analgesia in breast cancer, to investigate its clinical feasibility and effect, are as follows. 1 Subjects and methods 1.1 Case Our hospital from June 2006 ~ October 2007 elective general anesthesia adult patients with radical mastectomy 180 patients allergic to opioids, long-term use of opioids or non-opioid analgesics, liver and kidney dysfunction, liver, kidney, pancreatectomy were excluded. randomly divided into 3 groups: A group of 60 patients, mean age (53.5 + -6.1) years, mean body weight (53 + -3.4) kg, ASA I 29 , ASA II 31 , B group 60 patients, mean age (52.6 + -5.4) years, mean body weight (52 + -9.1) kg, ASA I 28 , ASA II 32 , C group, 60 patients, mean age (51.7 + -4.5) years, the average body weight (54 + -7.3) kg, ASA I 31 , ASA II 29 cases. 1.2 Methods 30 min before anesthesia, intramuscular pethidine 50 mg, promethazine 25 mg, atropine 0.4 mg. Anesthesia was induced intravenously with fentanyl 5 g kg-1, midazolam 0.1 mg kg-1, iso propofol 1.5 mg kg-1, and atracurium 0.6 mg kg-1. tracheal intubation underwent mechanical ventilation. intraoperative 1% isoflurane inhalation, intravenous infusion of propofol and intermittent intravenous injection of atracurium Ammonium maintenance of anesthesia. when skin clos