右美托嘧啶用于神经外科术后患者辅助镇痛的临床分析.pdf

药物与临床 ChniaForeignM~llo,,ITr—eatment—皿—誓衄—_■ DOI：10．1666~．cnki．1674-0742．2016．02．165 右美托嘧啶用于神经外科术后患者辅助镇痛的临床 分析 李萍 北大医疗鲁中医院麻醉科，山东淄博 255400 摘【耍】目的分析右美托嘧啶用于神经外科术后患者辅助镇痛的临床效果。方法随机选取2014年4月一2O15年5 月该院收治的80例行神经外科术后的患者随机分为观察组和对照组，给予观察组常规西药联合右美托嘧啶进行镇 痛治疗 ，给予对照组常规西药进行镇痛治疗，对比两组术后不同时间点的VAS评分和Ramsay评分。结果术后在6 h、12h和 24h时间点内，观察组的VAS评分均低子对照组，Ramsay评分均高于对照组，且差异均较大，P0．05。结论 右美托嘧啶在神经外科术后具有重要的应用价值，可显著改善患者的疼痛，减少术后躁动，值得推广。 关【键词】右芙托嘧啶；神经外科术；镇痛 ；踩动 中【圈分类号】R5 文【献标识码】A f文章编号】1674—0742(2016)01(b)．0165—02 CHnlcal Analysis of Dexmedetomidine in the Supplementary Analgesic TreatmentofPatientsafterNeurosurgical Operation LlPing DepartmentofAnesthesiology，ShandongMedicalUniversityHospital，Zibo。ShandongProvince．255400China [Abstract]ObjectiveToanalyzetheclinicaleffectofDexmedetomidineinthesupplementarynaalgesictreatmentofpa- tientsafterneurosurgical operation．Methods’80casesofpatientsafterneurosurgical operationtreatedinourhospitalfrom April2014toMay2015wereselectedandrandomlydividedintotwogroups，theobservationgroupweretreatedwithrou— tinewesternmedicinecombinedwithDexmedetomidineforanalgesictreatment，htecontrolgroupweretreatedwithroutine westernmedicineforanalgesictreatment．theVASscoreandRma sayscoreofthetwogroupsatdifferenttimepointswere compared．ResultsAt6h，12h and24h afteroperation，theVAS Scorein hteobservationgroupwaslowerhtan htatin the controlrgoup，hteRamsayscorewashigherhtanthatinthecontrolrgoup，andhtedifferenceswerebigP0．05．Conclusion Dexmedetomidineinhtepatientsafterneurosurgiealoperationhasan importantapplicationvalue，whichcanobviouslyim— provethepatient’8painsna dreducetherestlessnessafteroperation，which isworthpromoting． [Keywords]Dexmedetomidine；Neurosurgicaloperation；Analgesic；Restlessness 目前，在