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Effect of Butorphanol Tartrate Combined with Sufentanil on Analgesia, Ramsay Score and Adverse Reactions in Patients Undergoing Laparoscopic Total Hysterectomy |
FANG Jian, LIU Yong-hui, LI Sheng-hua |
Department of Anesthesiology,Jiading District Maternal and Child Health Hospital, Shanghai 201821 ,China |
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Abstract 【Objective】To investigate the effects of butorphanol tartrate combined with sufentanil on analgesia, Ramsay score, and adverse reactions in patients undergoing laparoscopic total hysterectomy( LTH). 【Methods】A total of 78 patients with LTH were enrolled in the study. They were divided into two groups by random method. Patients in the control group (n=39) received sufentanil, while patients in the observation group (n=39) received butorphanol tartrate combined with sufentanil treatment. Both VAS score and Ramsay score at 4 h, 8 h, 12 h, 24 h, 48 h after treatment were evaluated, and adverse drug reactions were compared in both groups as well. 【Results】The VAS scores of both groups had a tendency to decrease with time (P<0.05), and the decreasing trend of the observation group over time was higher than the control group. The VAS scores of the observation group at each time point were significantly lower than those in the control group (P<0.05). The Ramsay score at 4 hours after medication in the observation group was significantly higher than that of the control group (P<0.05), while there were not statistically significant differences between the two groups at other time points (P>0.05). The incidence of adverse reactions in the observation group was 17.95%, (7/39), which was significantly lower than that in the control group 41.03% (16/39). The difference was statistically significant (P<0.05). 【Conclusion】 Butorphanol tartrone combined with sufentanil for LTH has better postoperative analgesia and less adverse reactions, which is worthy of clinical promotion.
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Received: 16 April 2019
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[1] 姜玉娟, 金彦琪, 陈晓霞,等. 腹腔镜下全子宫切除术与阴式全子宫切除术对子宫良性病变患者临床疗效的比较研究[J].山西医药杂志, 2017, 46(3):338-340. [2] Porelatiihonen S, Kokki M, Kokki H. Sufentanil sublingual formulation for the treatment of acute, moderate to severe postoperative pain in adult patients[J].Expert Rev Neurother,2017, 17(2):101-111. [3] Leal WP, Carregaro AB, Bressan TF, et al. Antinociceptive efficacy of intramuscular administration of morphine sulfate and butorphanol tartrate in tegus (Salvator merianae)[J].Am J Vet Res,2017, 78(9):1019-1024. [4] 郑建华, 蔡丽瑛. 全子宫、次全子宫、筋膜内子宫切除术的特点及适应证[J].实用妇产科杂志, 2007, 23(12):716-717. [5] Sandberg EM, Twijnstra AR, Driessen SR, et al. Total laparoscopic hysterectomy versus vaginal hysterectomy: a systematic review and meta-analysis[J].J Minim Invasive Gynecol,2017, 24(2):206-217. [6] 宋平, 王飞. 腹腔镜肝癌切除术后地佐辛联合舒芬太尼方案自控静脉镇痛对全身疼痛及炎症介质的影响[J].海南医学院学报, 2017, 23(13):1822-1825. [7] 周阳. 舒芬太尼靶控镇痛对腹腔镜手术患者应激反应、免疫功能的影响[J].实用临床医药杂志, 2018,22(17):52-55. [8] 郭庆艳,马俊峰,胡朝霞, 等.不同剂量布托啡诺联合舒芬太尼镇痛对老年全子宫切除病人术后翻身痛及不良反应的影响[J].实用老年医学,2017,31(9):876-878. [9] 曲海霞. 酒石酸布托啡诺联合舒芬太尼用于胃肠手术后镇痛的临床效果观察[J].山西医药杂志, 2016, 45(11):1315-1316. |
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