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目的 观察胃肠道癌术后芬太尼透皮镇痛的效果及副作用。方法 胃肠道癌根治手术病人 3 1例 ,于术日晨 6时开始使用芬太尼贴剂 ,剂型为 2 5ug/h和 5 0ug/h二种 ,术后观察镇痛效果及相关的副作用。 结果 绝大数病人均获得满意的镇痛 ,以 5 0ug/h较 2 5ug/h的为优 ;但呕吐的发生率以 5 0ug/h的多见。本组无呼吸抑制发生。 结论 芬太尼透皮贴剂可有效地用于胃肠道癌根治术后的镇痛。
Objective To observe the effect and side effects of transdermal analgesia of fentanyl after gastrointestinal cancer surgery. Methods Thirty-one patients with radical surgery of gastrointestinal cancer were treated with fentanyl patch at 6 o’clock on the morning of the surgery. The dosage forms were 25ug / h and 50ug / h. Postoperative analgesia and related side effects were observed . Results The vast majority of patients received satisfactory analgesia, with 50ug / h compared with 25ug / h, but the incidence of vomiting was more common at 50ug / h. No respiratory depression occurred in this group. Conclusion Fentanyl transdermal patch can be effectively used for analgesia after radical operation of gastrointestinal cancer.