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地佐辛与酮咯酸氨丁三醇用于腹腔镜胆囊切除术患者自控静脉镇痛的比较研究

Comparative Study of Dezocine and Ketorolac Tromethamine in Patient-Controlled Intravenous Analgesia of Laparoscopic Cholecystectomy.

作者信息

Ying Yidan, Fei Shuke, Zeng Zhiying, Qu Xiaoyong, Cao Zemin

机构信息

Department of Pharmacy, Hengyang Medical School, The Second Affiliated Hospital of South China, University of South China, Hengyang, China.

Department of Hepatobiliary and Pancreatic Surgery, Hengyang Medical School, The Second Affiliated Hospital of South China, University of South China, Hengyang, China.

出版信息

Front Surg. 2022 Apr 25;9:881006. doi: 10.3389/fsurg.2022.881006. eCollection 2022.

Abstract

PURPOSE

This study aimed to observe the application value of dezocine and ketorolac tromethamine in patient-controlled intravenous analgesia (PCIA) of patients undergoing laparoscopic cholecystectomy (LC).

METHODS

A total of 154 patients who underwent LC surgery in our hospital and received PCIA after surgery from September 2020 to September 2021 were selected, they were divided into group A ( = 77) and group B ( = 77). Group A was given dezocine and group B was given ketorolac tromethamine. The analgesia, sedation, comfort, and adverse reactions of the two groups were closely observed at 4, 8, 12, and 24 h after surgery.

RESULTS

At 4, 8, 12, and 24 h after surgery, the visual analog scale scores in group B were lower than those in group A ( < 0.05). At 4, 8, 12, and 24 h after surgery, the Ramsay scores in group B were higher than those in group A ( < 0.05). At 4, 8, 12, and 24 h after surgery, there was no significant difference in Bruggrmann comfort scale scores between the two groups ( > 0.05). There was no significant difference in the incidence of adverse reactions between the two groups ( > 0.05).

CONCLUSION

Both dezocine and ketorolac tromethamine have high clinical application value in patients who underwent LC surgery and received PCIA, with higher patient comfort and fewer adverse reactions. But compared with dezocine, ketorolac tromethamine can achieve better sedative and analgesic effects, which is worthy of clinical promotion.

摘要

目的

本研究旨在观察地佐辛和酮咯酸氨丁三醇在腹腔镜胆囊切除术(LC)患者自控静脉镇痛(PCIA)中的应用价值。

方法

选取2020年9月至2021年9月在我院行LC手术且术后接受PCIA的154例患者,分为A组( = 77)和B组( = 77)。A组给予地佐辛,B组给予酮咯酸氨丁三醇。术后4、8、12和24 h密切观察两组的镇痛、镇静、舒适度及不良反应情况。

结果

术后4、8、12和24 h,B组视觉模拟评分低于A组( < 0.05)。术后4、8、12和24 h,B组Ramsay评分高于A组( < 0.05)。术后4、8、12和24 h,两组Bruggrmann舒适度评分差异无统计学意义( > 0.05)。两组不良反应发生率差异无统计学意义( > 0.05)。

结论

地佐辛和酮咯酸氨丁三醇在接受LC手术并行PCIA的患者中均具有较高的临床应用价值,患者舒适度较高且不良反应较少。但与地佐辛相比,酮咯酸氨丁三醇能取得更好的镇静和镇痛效果,值得临床推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b686/9081680/91f9c7058f57/fsurg-09-881006-g0001.jpg

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