Clinical study on the controlled subcutaneous analgesia with different doses of sufentanil for postoperative abdominal surgery patients
10.3760/cma.j.issn.1008-6706.2011.16.004
- VernacularTitle:不同剂量苏芬太尼用于腹部手术术后患者皮下自控镇痛的临床研究
- Author:
Hongwei ZHAO
;
Yong WANG
;
Zhongli WANG
;
Zuoli WU
;
Dongyun WU
- Publication Type:Journal Article
- Keywords:
Sufentanil;
Patient controlled subcutaneous analgesia;
Abdominal surgery,postoperative
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(16):2168-2169
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effects of controlled subcutaneous analgesia(PCSA) with sufentanil in patients underwent abdominal surgery and the occurrence of adverse reactions. Methods90 patients underwent abdominal surgery were randomly divided intothree groups with 30 cases each. Group Ⅰ :sufentanil 0. 04μg · kg-1 ·h-1 for postoperative analgesia; Group Ⅱ : sufentanil 0. 06μg · kg-1 · h-1 for postoperative analgesia; Group Ⅲ :sufentanil 0.08μg/kg · h for postoperative analgesia;PCSA started at the end of operation with catheter buried in deltoid muscle. Visual analgesia scale(VAS) ,Rasmay scale and side effects were recorded at 4,8,16,24 and 48h after operation. ResultsVAS scores decreased significantly in group Ⅱ and group Ⅲ compared with that in group Ⅰ ( all P ＜ 0.05) ;There were no differences of Ramsay scores between groups ( all P ＞ 0. 05) ;There were three cases of respiratory depression in group Ⅲ. ConclusionPCSA with sufentanil (0.06μg/kg) had exact analgesic effects for postoperative abdominal surgery patients with less adverse reactions.
