Effects of postoperative intravenous analgesia with dezocine and sufentanil on elderly patients after arthroplasty
- VernacularTitle:舒芬太尼联合地佐辛用于老年患者下肢关节置换术后静脉镇痛的临床观察
- Author:
Yuetao MA
;
Yilan MO
;
Yunfei XING
- Publication Type:Journal Article
- Keywords:
Sufentanil;
Dezocine;
Postoperative analgesia;
Elderly patient;
Arthroplasty
- From:
Chinese Journal of Postgraduates of Medicine
2012;(z2):14-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of intravenous analgesia with dezocine combining sufentanil in hip and knee arthroplasty for elderly patients.Methods Ninety patients with ASA Ⅱ ～ Ⅲ and aged ≥ 65 years who were scheduled for hip and knee arthroplasty under CSEA and treated with intravenous analgesia post-operation were selected and divided into three group (20 cases):group Ⅰ (sufentanil 2.5μg/kg + droperidol 2.5 mg),group Ⅱ (sufentanil 2.0 μ g/kg + dezocine 10 mg + droperidol 2.5 mg) and group Ⅲ (intramuscular dezocine 10 mg and sufentanil 2.0 μ g/kg + droperidol 2.5 mg),which were diluted to be 100 ml by adding saline.VSA,Ramsay score as well as side effects were recorded at 6,12 and 24 h after operation.75 mg meperidine was administered intramuscularly as rescue medication when VAS was above 5.Results Compared with group Ⅰ and Ⅲ,group Ⅱ showed better outcomes regarding to the VAS and less side effects.Ramsay score 6 h after operation and the amount of patients who needed meperidine in group Ⅲ were higher than those in the other two groups (P ＜ 0.05).Conclusion Dezocine combining with sufentanil in elderly patients underwent low limb arthroplasty shows better postoperative analgesia effects with less side effects,and it's worth for clinical application.
