论文部分内容阅读
[目的]比较布托啡诺与羟考酮用于经尿道输尿管镜碎石取石术(URL)后自控静脉镇痛的效果.[方法]本院214例择期行URL治疗的患者,依据术中麻醉药物不同,分为布托啡诺组(A组,n=107)和羟考酮组(B组,n=107),比较两组镇痛效果.[结果]A组麻醉优良率、手术时间和麻醉时间与B组比较差异均无显著性(P＞0.05);术后自控静脉镇痛后3h、6h、12h、24 h,B组疼痛评分显著低于A组,镇静评分显著高于A组,且差异具有显著性(P＜0.05);B组麻醉药物消耗量显著少于、恶心呕吐评分显著低于A组,且差异有显著性(P＜0.05);B组麻醉满意度为93.46％,高于A组的87.85％ (P＞0.05);B组麻醉过程总不良反应率为5.61％,明显低于A组的14.02％ (P＜0.05).[结论]布托啡诺与羟考酮用于URL麻醉,总体麻醉效果相当,但羟考酮麻醉用量相对较少,镇痛效果好,不良反应少,比布托啡诺更适于URL椎管内麻醉.“,”[Objective]To compare the effects of butorphanol and oxycodone in patient-controlled intravenous analgesia after transurethral ureteroseopic lithotripsy (URL).[Methods]Two hundred and fourteen patients undergoing URL were divided into butorphanol group (group A,n =107) and oxycodone group (group B,n=107) according to the different anesthetics.The analgesic effects were compared between the two groups.[Results]The excellent rate of anesthesia,operation time and duration of anesthesia showed no statistically significant difference between the two groups (P＞0.05).3h,6h,12h and 24h after postoperative patient-controlled intravenous analgesia,the pain score of the group B was significantly lower than that of the group A,the sedation score was significantly higher than that of group A,and the difference was significant (P ＜0.05).The anesthetic consumption,score of Post Operative Nausea And Vomitting (PONV) of the group B were significantly less or lower than those of the group A (P ＜0.05).The anesthesia satisfaction of B group was 93.46％ while of A group was 87.85％ (P ＞0.05).The anesthesia satisfaction of the group B was 93.46％,higher than that of the group A (87.85％) (P ＞0.05);the incidence of adverse reactions in the group A was 14.02％ while that in the group B was 5.61％ (P ＜0.05).[Conclusion]General anesthesia effects of butorphanol and oxycodone for URL anesthesia are similar,but oxycodone has a relatively small amount and good analgesic effect with less adverse reaction,and is more suitable than butorphanol for URL intrathecal anesthesia.