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huan zhe ru hui fu shi hou ji ke gei yu dan ci zhen tong de xiao guo guan cha
Author(s): 
Pages: 73-75
Year: Issue:  1
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  镇痛麻醉恢复室帕瑞昔布钠曲马多;
Abstract: 目的:比较腰椎内固定术后患者入麻醉恢复室后即刻给予单次静注帕瑞昔布钠和盐酸曲马多的镇痛效果.方法:40例ASA Ⅰ~Ⅱ级行腰椎内固定手术的患者,按随机盲法分为帕瑞昔布钠组(A组)和盐酸曲马多组(B组),术毕送到恢复室后(拔管前)立即给予A组静注帕瑞昔布钠40 mg,B组静注盐酸曲马多100 mg.记录并比较两组患者在拔管后即刻、拔管后10 min和离室前的疼痛视觉模拟评分和镇静评分及各时间点的呼吸参数、生命体征和不良反应等.结果:帕瑞昔布钠和盐酸曲马多的镇痛效果差异无统计学意义(P>0.05),A组和B组恶心呕吐的例数分别为1例和5例(P>0.05).结论:腰椎内固定术后患者入恢复室后即刻,在全麻未醒时给予静注帕瑞昔布钠40 mg和盐酸曲马多100 mg,均能起到良好的镇痛作用.虽然两者镇痛效果差异无统计学意义,但帕瑞昔布钠更少发生恶心、呕吐等副作用,更适用于恢复室镇痛.
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