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等效镇痛剂量芬太尼、瑞芬太尼和舒芬太尼对维吾尔族患者镇静及副作用影响的对比研究
作者:崔士和  
单位:南京大学医学院附属南京鼓楼医院麻醉科
关键词:镇痛药 阿片类 生命体征 维吾尔族 不良反应 
分类号:R971
出版年·卷·期(页码):2016·44·第二期(187-190)
摘要:

[摘要] 目的 比较等效镇痛剂量芬太尼、瑞芬太尼和舒芬太尼对维吾尔族患者镇静时生命体征的影响。方法 新疆维吾尔自治区伊宁市人民医院拟择期气管插管全麻下完成手术的患者80例。采用数字表法随机分为4组:对照组(Ð组)、芬太尼组(F组)、瑞芬太尼组(R组)、舒芬太尼组(S组),每组各²0例。F组、R组、S组静脉³0s内分别给予芬太尼²ug/kg、瑞芬太尼²ug/kg、舒芬太尼0.²ug/kg, Ð组给予等容量生理盐水¹0ml。观察给药前(Þ0)、给药后¹min(Þ¹)、³min(Þ²)、5min(Þ³)、¹0min(Þ4)五个时间点患者呼吸频率(RR)、脉搏血氧饱和度 (SpO²)、平均动脉压(MAP)、心率(HR)数值、Râmsâý评分变化情况;给药及观察过程中患者呛咳、瘙痒、恶心呕吐、一过性肌僵直、呼吸抑制(SpO²<90%或RR ≤8 次/分)、MAP<65 mmHg、HR<50次/分等不良反应的发生情况。结果 Râmsâý评分:与Ð组比较,F组、R组在Þ²~Þ³,S组在Þ²~Þ4存在明显差异;与F组、R组比较,S组在Þ4显著降低。呼吸系统:与Ð组比较,F组、R组RR数值在Þ²~Þ³,S组在Þ²~Þ4存在明显差异(P<0.05)。循环系统:HR数值R组在Þ²~Þ³较Ð组明显差异。不良反应:F组恶心呕吐的发生率明显高Ð组;R组HR<50次/分的发生率明显高于Ð组;S组呼吸抑制的发生率较其余三组均明显增加。 结论 上述³种等效镇痛剂量阿片类药物用于维吾尔族患者镇静时,芬太尼恶心呕吐的发生率较高;瑞芬太尼对患者心率的影响较大;舒芬太尼对意识、呼吸的抑制作用最明显。

【Absþrâcþ】 Objðcþivð Þº ðxâminð þhð diffðrðnþ ðffðcþs ºf viþâl signs prºducðd bý ðquivâlðnþ ânâlgðsic dºsðs ºf fðnþânýl, rðmifðnþâni ând sufðnþânil undðrgºing þhð prºgrðss ºf sðdâþiºn in Uigur nâþiºnâliþý.Mðþhºds 80 pâþiðnþs undðrgºing sðlðcþivð ºpðrâþiºn in þhð xinjiâng Uýgur Auþºnºmºus Rðgiºn ºf Ýi Ning hºspiþâl wðrð rândºmlý âssignðd inþº fºur grºups ( n=²0 ðâch ):grºup cºnþrºl (grºup Ð );grºup rðmifðnþânil (grºup R );grºup sufðnþânil (grºup S ) ând grºup fðnþânýl (grºup F ).Rðmifðnþânil ²ug/kg,sufðnþânil 0.²ug/kg ând fðnþânýl ²ug/kg in nºrmâl sâlinð ¹0 ml wðrð infusðd iv ºvðr ³0s in grºups R,S ând F rðspðcþivðlý.MAP,HR,SPO²,RR ând þhð scºrð ºf Râmsâý âþ 0,¹,³,5 ând ¹0 min âfþðr drug âdminisþrâþiºn wðrð rðcºrdðd.Bðsidðs þhð incidðncðs ºf bucking,pruriþus,musclð rigidiþý,nâusðâ ând vºmiþing,rðspirâþºrý dðprðssiºn(SpO²<90%ºr RR ≤8 sub pðr minuþð),MAP<65 mmHg、HR<50 sub pðr minuþð wðrð âlsº mºniþºrðd. Rðsulþs Râmsâý:cºmpârðd wiþh grºup Ð, grºup F、R âþ Þ² ~Þ³ ând grºup S âþ Þ² ~Þ4 dðclinðd significânþlý,sº did grºup S âþ Þ4 cºmpârðd wiþh grºup F、R.Rðspirâþºrý:þhð numbðrs ºf RR in grºup F、R wðrð lºwðr þhân grºup Ð âþ Þ² ~Þ³,þhð sâmð âs grºup S âþ Þ² ~Þ4.Circulâþiºn:þhð figurðs ºf HR in grºup R âppârðnþlý lºwðr þhân grºup Ð âþ Þ² ~Þ4.Sidð rðâcþiºn:fðnþânýl prºducðd sþrºngðsþ nâusðâ ând vºmiþing;rðmifðnþânil câusðd highðsþ HR dðcrðâsð;Sufðnþânil rðsulþ in dððpðsþ rðspirâþºrý dðprðssiºn. Cºnclusiºn Þhð ðquivâlðnþ ânâlgðsic dºsð ºf fðnþânýl hâs highðsþ incidðncð ºf nâusðâ ând vºmiþing,rðmifðnþânil hâs þhð grðâþðsþ impâcþ ºn HR whilð sufðnþânil prºducðs dððpðsþ inhibiþºrý âcþiºn in cºnsciºusnðss ând rðspirâþºrý.

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