【摘要】 为了观察咪唑安定及芬太尼超声雾化吸入用于术后镇痛的效果 ,随机选择 6 0例择期行胆囊、胃和食管手术的病人 ,随机分为 A、B、C、D4组。A组为对照组 ,B、C、D组为治疗组。治疗组雾化液咪唑安定含量均为 2 m g,芬太尼含量分别为 0 .0 5 m g、0 .1mg和 0 .2 m g。采用视觉模拟疼痛评分法 (VAS)评估吸入前后的疼痛程度 ,同时监测心率 (HR)、平均动脉压 (MAP)和血氧饱和度 (SPO2 ) ,所得参数行方差分析。结果 :治疗组均能达到不同程度的镇痛效果 ,尤以芬太尼含量为 0 .2 mg组效果最佳 ,镇痛期生命体征平稳。提示咪唑安定及芬太尼雾化吸入是一种安全、有效、无创和简便的新型镇痛方法。更多还原

【Abstract】 In order to observe the postoperative analgesic effects of dormicum and sublimaze administered by ultrasonic spray inhalation, 60 cases undergoing gallbladder, stomach or esophageal operation were randomly divided into 4 groups: group A, control group; groups B, C and D, given dormicum 2 mg for all and sublimaze 0 05 mg, 0.1 mg, 0 2 mg respectively. By using visual algetic mimic scale (VAS), the pain before and after inhalation of dormicum and sublimaze was evaluated and the heart rate (HR), mean arterial pressure (MAP) and blood oxygen saturation (SPO 2) were monitored at the same time. The results showed that in the treated groups, analgesic effects were obtained to some extent, the 0 2 mg sublimaze group the best. During the analgesia, the life signs were stable. It was suggested that the ultrasonic spray inhalation of dormicum and sublimaze was a safe, effective, noninvasive and simple analgesia.更多还原