布托啡诺与芬太尼静脉自控镇痛的效果观察及护理

布托啡诺与芬太尼静脉自控镇痛的效果观察及护理
陈信芝;林金香;卢素芬;黎尚荣
【期刊名称】《中华现代护理杂志》
【年(卷),期】2009(015)007
【摘要】目的探讨布托啡诺与芬太尼用于病人自控静脉镇痛(PCIA)的效果及其不良反应.方法将100例开腹手术病人随机分为布托啡诺组50例和芬太尼组50例,背景输注量和锁定时间均相同.记录药物用量、疼痛评分、镇静评分,观察不良反应的例数,调查病人的总体满意度.结果两组术后疼痛评分差异无统计学意义(P>0.05);镇静效果差异有统计学意义,布托啡诺组镇静时间较长(P<0.05);两组不良反应发生率差异有统计学意义,芬太尼组恶心、呕吐的发生率较布托啡诺组为高(P<0.01).结论两种药物用于PCIA镇痛及镇静均能达到满意效果,但布托啡诺组镇静时间较长,要注意观察病人的睡眠情况;芬太尼组容易引起恶心、呕吐,要注意防止病人发生呼吸抑制.%Objective To compare the effects of butorphanol and fentanyl for postoperative patient controlled intravenous analgesia (PCIA), and explore the different nursing measures. Methods 100 patients were randomly divided into two groups with 50 cases each:group A(butorphanol),and group B (fentanyl). The PCA model for both groups was set with background infusion 2 ml/h, bolus of 2 ml with lock time 15 min. The Blood Pressure(BP), heart rate(HR), analgesic score (VAS), sedation score, patient satisfaction, nausea, vomiting, respiratory, sleep quality, gastrointestinal peristalsis, urinary retention were observed at 4,12,24,36 hours after operation. Results Adequate analgesia and patient satisfaction
were achieved in both groups. The sedation score was higher in group A than group B(P>0.05). There were higher incidence of nausea, vomiting among B group. Conclusions With close clinical observation and reasonable nuring care, butorphanol and fentanyl could both provide satisfactory analgesia and sedation effects. However, the sedation score was higher in butorphanol and nurses should pay attention to patients' sleep quality. There were higher incidence of nausea, vomiting among patients with fentanyl, so nurses should pay attention to prevent patients from respiratory depression.
【总页数】3页(P621-623)
【作者】陈信芝;林金香;卢素芬;黎尚荣
【作者单位】510630,广州,中山大学附属第三医院麻醉手术科;510630,广州,中山大学附属第三医院麻醉手术科;中山大学附属眼科医院手术室;510630,广州,中山大学附属第三医院麻醉手术科
【正文语种】中文
【中图分类】R9
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