地塞米松联合氟哌利多防治舒芬太尼术后静脉镇痛并发恶心呕吐的效果观察.docVIP

精品论文 参考文献 地塞米松联合氟哌利多防治舒芬太尼术后静脉镇痛并发恶心呕吐的效果观察 1四川省交通运输厅公路局医院 麻醉科 611731；2四川省资阳市第一人民医院 麻醉科 561300 摘要：目的：探讨选择地塞米松+氟哌利多在防治对患者实施舒芬太尼镇静镇痛后出现恶心呕吐方面获得的效果。方法：选择我院2014年04月-2016年04月收治的全麻骨科手术患者400例作为研究对象。根据接受的不同干预方法完成分组。对于A4组患者，在完成手术后，选择生理盐水（4毫升）对患者实施静脉注射；对于A3组患者，将氟哌利多（10毫克）加入至患者使用的镇痛药液中；对于A2组患者，完成手术后选择地塞米松（20毫克）对患者进行注射；对于A1组患者，手术结束前30分钟地塞米松5毫克加氟哌利多1毫克静脉注射，镇痛泵加入地塞米松10毫克和氟哌利多2毫克。针对所有患者的镇痛效果以及出现恶心呕吐的概率进行对比。结果：在出现恶心呕吐概率方面，A4组患者明显高于A1组、A2组以及A3组患者（Plt;0.05）；A1组明显低于A2组以及A3组骨科手术患者（Plt;0.05）。结论：针对骨科手术患者，临床选择地塞米松+氟哌利多进行干预，可以将患者使用舒芬太尼完成术后静脉自控镇痛后出现恶心呕吐的概率显著降低，表现出显著协同作用，获得显著的镇吐效果。 关键词：地塞米松；氟哌利多；舒芬太尼；术后静脉镇痛；恶心呕吐 To observe the analgesia effect of nausea and vomiting associated with dexamethasone and droperidol in prevention of postoperative sufentanil 1 （Liao Yun Sichuan Provincial Department of transportation，Highway Bureau hospital，Department of anesthesia，611731） 2 （Department of anesthesia，the first peoples Hospital of Ziyang City，Sichuan Province，561300） [Abstract] Objective：To explore the choice of nausea and vomiting to obtain the effect of dexamethasone combined with droperidol in the prevention and treatment of patients with the implementation of sufentanil for sedation and analgesia. Methods：select our hospital in 2014 04 months -2016 years，400 cases of general anesthesia department of orthopedics surgery patients as the research object. According to the different intervention methods to complete the group. For A4 group，in after the completion of the operation，saline （4 ml）on patients with intravenous injection；for patients in group A3，droperidol （10 mg）was added to the patients with the use of the analgesic solution；after surgery for the patients in group A2 choose dexamethasone （20 milli grams）injection on patients；for the group A1. At the end of the operation 30 minutes before dexamethasone 5 mg plus 1 mg droperidol intravenously，joined the dexamethasone 10 mg and droperidol for analgesia pump 2 mg. The analgesic effect and the probability of occurrence of nausea and vomiting