舒芬太尼联合罗哌卡因对行前列腺电切术老年患者 术后镇痛的效果和安全性分析

罗建军 1 ，苏晓玲 2

1.咸阳市旬邑县医院麻醉科，陕西 咸阳，711300；2.铜川市耀州区人民医院，陕西 铜川，727100

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摘要：

目的 分析舒芬太尼联合罗哌卡因对行前列腺电切术患者的镇痛效果和安全性。方法 随机选取 2014年 5月至 2017年5月在我院择期接受前列腺电切术的高龄前列腺增生患者 80例，将患者随机分为对照组和研究组，各 40例。两组术中麻醉方式相同。对照组患者给予罗哌卡因联合吗啡自控镇痛，研究组患者给予舒芬太尼联合罗哌卡因自控镇痛。记录并比较两组组患者术后不同时间段的疼痛程度、患者自控按压状况与不良反应状况。结果 研究组患者不同时间段的疼痛分值均明显低于对照组，差异具有统计学意义（P<0.05）。研究组患者的不良反应总发生率明显低于对照组，且自控按压次数明显少于对照组，差异具有统计学意义（P<0.05）。研究组患者镇痛药量低于 100 mL 的占比明显高于对照组，差异具有统计学意义（P<0.05）。结论 应用舒芬太尼联合罗哌卡因能够有效地减轻行前列腺电切术的高龄前列腺增生患者的术后的疼痛程度，减少镇痛药物用量，降低不良反应发生率。

关键词：舒芬太尼；安全性；前列腺电切术；镇痛；用量

中图分类号：R614 文献标志码：A文章编号：2096-1413(2018)07-0089-02

Analgesic effect and safety of sufentanil combined with ropivacaine in elderly
patients undergoing transure thralresection of prostate


LUO Jian-jun 1 ,SU Xiao-ling 2*
(1.Anes the siology Department, the Hospital of Xunyi County, Xianyang 711300; 2.the People` s Hospital of qYaozhou
District,Tongchuan 727100,China)



ABSTRACT: Objective To analyze the analgesic effect and safety of sufentanil combined with ropivacaine on patients undergoing transure thralre section of prostate (TURP). Methods A total of 80 elderly patients with benign prostatic hyperplasia undergoing TURP in our hospital from May 2014 to May 2017 were randomly selected,and randomly divided into control group and study group, with 40 cases in each group.The method so fanesthesia in the two groupswere same.The patients in the control group were treated with ropivacaine combined with morphine analgesia,while the patients in thestudy group were treated with sufentanil combined with ropivacaine analgesia.The pain at different time,self-control pressing and the adverse reaction safter operation were recorded and compared between the two groups. Results The painscores at different time in the study group were significantly lowerthan those in the control group,the differences were statistically significant (P<0.05).The total incidence of adverse reactionsin the study group was significantly lower than that in the control group,and the self-control pressing time was significantly less than that in the control group,the differences were statistically significant (P<0.05).The proportion of patients with analgesia less than 100 mL in the study group was significantly higher than that in the control group,the difference was statistically significant (P<0.05). Conclusion The application of sufentanil combined with ropivacaine in elderly patients with benign prostatic hyperplasia under-going TURP can effectively mitigate postoperative pain,reduce the amount of analgesic drugs,decrease the incidence of adverse reactions.  　                                                                                                                                                                                                        KEYWORDS: sufentanil; safety; transure thralresection of prostate (TURP); analgesia; dosage

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