瑞芬太尼与芬太尼对小儿斜视纠正术术后恶心呕吐和疼痛的影响的对比研究(1)
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【摘要】 目的 对比短时效阿片类药物-瑞芬太尼与芬太尼对小儿斜视术后呕吐和疼痛的作用的差别。方法 60名ASA I～II级,2～12岁择期在全麻下行斜视纠正术的小儿,随机分为两组,R组(瑞芬太尼)与F组(芬太尼)。术后记录25 h呕吐事件。苏醒后60 min记录疼痛评分。结果 两组术后呕吐发生率没有统计学差异(49% vs 48%)。但是R组术后呕吐频率较F组低(0.95 vs 2.2)。苏醒后头30 min,F组术后疼痛评分较低。结论 平衡全麻下小儿斜视术后,瑞芬太尼组术后呕吐发生频率较少,但芬太尼组对术后早期镇痛效果较好。
【关键词】 瑞芬太尼;芬太尼;术后恶心呕吐;疼痛;斜视手术
A comparison of remifentanil and fentanyl for postoperative vomiting and pain after strabismus surgery
CHEN Ying,LIAO Zhijie,CHEN Qianru,et al.Department of Anesthesiology,Zhongshan Ophthalmology Ceater of Zhongsshan University Guangzhou 510600,China
【Abstract】 Objective To compare the effect of remifentanil with fentanyl on postoperative vomiting and pain in children undergoing strabismus surgery. Methods 60 ASA status I or II children from 2~12 years undergoing elective strabismus surgery under general anesthesia. Children were randomized to receive either remifentanil (Group R) or fentanyl (Group F) ......
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