右美托咪定联合舒芬太尼用于腹腔镜子宫全切术后镇痛效果剖析.docVIP

右美托咪定联合舒芬太尼用于腹腔镜子宫全切术后镇痛效果剖析 　　[摘要] 目的 探究腹腔镜子宫全切术患者接受右美托咪定与舒芬太尼联合对其术后镇痛效果的影响。方法 方便选取该院2015年1月―2017年5月收治腹腔镜子宫全切术患者100例作为该次研究对象，分为2组，其中实验组在术后给予其右美托咪定与舒芬太尼联合镇痛，对照组在术后仅给予舒芬太尼镇痛，对比2组镇痛效果的差异性。结果 实验组疼痛评分[T1=（2.30±0.51）分，T2=（2.01±0.39）分，T3=（1.71±0.50）分，T4=（1.22±0.47）分，T5=（0.59±0.52）分]均明显低于对照组（P0.05）；实验组镇痛评分[T1=（3.41±0.71）分，T2=（2.90±0.69）分，T3=（2.60±0.63）分，T4=（2.51±0.57）分，T5=（2.36±0.52）分]均明显优于对照组（P0.05）；实验组腹腔镜子宫全切术患者不良反应几率（10.00%）明显低于对照组不良反应几率（32.00%）（P0.05）。结论 腹腔镜子宫全切术患者在术后接受右美托咪定与舒芬太尼联合镇痛，能够取得较好的镇痛效果，且安全性较高。 　　[关键词] 右美托咪定；舒芬太尼；腹腔镜；子宫全切术；镇痛 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）01（c）-0132-03 　　[Abstract] Objective This paper tries to investigate the effect of combined dexmedetomidine and sufentanil on postoperative analgesia in patients undergoing laparoscopic hysterectomy. Methods 100 patients undergoing laparoscopic hysterectomy from January 2015 to May 2017 were convenient selected as the study subjects and divided into two groups. The experimental group was given postoperative combination of dexmedetomidine and sufentanil pain， the control group was given only sufentanil analgesia after surgery， the analgesic effects of the two groups were analyzed. Results Pain scores in the experimental group[T1=（2.30±0.51） points， T2=（2.01±0.39）points，T3=（1.71±0.50）points， T4=（1.22±0.47）points， T5=（0.59±0.52）points] were significantly lower than control group（P0.05）； analgesic scores in the experimental group [T1=（3.41±0.71）points， T2=（2.90±0.69） points， T3=（2.60±0.63）points，T4=（2.51±0.57）points， T5=（2.36±0.52）point] were significantly better than the control group（P0.05）； The adverse reaction rate（10.00%） was significantly lower than that in the control group（32.00%）（P0.05）. Conclusion Laparoscopic hysterectomy in patients receiving dexmedetomidine and sufentanil combined analgesia can achieve better analgesic effect， and with higher safety. 　　[Key words] Dexmedetomidine； Sufentanil； Laparoscopy； Hysterectomy； Analgesia 　　腹腔镜子宫全切术具有较高的应用价值，其对患者的创伤小，可缩短其术后恢复时间，但是其在术后仍然存在