Observation of the effect of posterior fossa operation analgesia with tramadol compound dexmedetomidine
10.3969/j.issn.1671-8348.2015.05.029
- VernacularTitle:曲马多复合右美托咪定用于后颅窝手术术后镇痛效果观察
- Author:
Yongwei ZHOU
;
Jing HE
;
Tao YANG
;
Zhiyong GAO
;
Ming LEI
- Publication Type:Journal Article
- Keywords:
dexmedetomidine;
tramadol;
posterior fossa;
postoperative analgesia;
postoperative complications
- From:
Chongqing Medicine
2015;(5):660-661,664
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of posterior fossa operation analgesia with tramadol compound dexmedetomi‐dine ,and the feasibility of reducing the dosage of tramadol .Methods Forty cases undergoing posterior fossa operation were ran‐domly divided into dexmedetomidine group (group A) and control group (group B) .Patients in group A with tramadol compound dexmedetomidine intravenous infusion analgesia ,reducing the dosage of tramadol .Group B with tramadol intravenous infusion anal‐gesia .To observe two groups of patients with preoperative ,postoperative 1 ,6 ,12 ,24 ,48 hVAS score ,Ramsay score ,heart rate , blood pressure ,respiratory rate ,SpO2 ,the postoperative complications such as nausea and vomiting ,and carries on statistics analy‐sis ,the two groups of patients with postoperative analgesic and sedative effect evaluation .Results VAS score :postoperative at each time point ,there was no significant difference between groups (P>0 .05) .Ramsay score :after operation and postoperative at each time point ,the experimental group were significantly higher than those in the control group (P<0 .05);the incidence of nausea and vomiting ,restlessness complications ,the experimental group was significantly lower than that of the control group (P<0 .05) .Con‐clusion Posterior fossa operation patients with tramadol and dexmedetomidine postoperative to analgesia could reduce the dosage of tramadol ,reduce nausea and vomiting ,restlessness and other complications ,and the analgesic effect is ideal .It was favorable to ob‐serve the postoperative condition .
