目的：研究舒芬太尼预防雷米芬太尼麻醉后早期疼痛的临床疗效。方法选取我院使用雷米芬太尼麻醉行胸部手术患者100例，随机分成芬太尼组和舒芬太尼组，每组患者均为50例，比较术后两组患者的疼痛治疗效果。结果舒芬太尼组患者术后1、3 h 的疼痛情况视觉模拟评分（VAS）均较芬太尼术后对应时间的 VAS 降低（P ＜0.05），芬太尼组与舒芬太尼组需要追加芬太尼的发生率分别为50.0%和4.0%，两组比较差异有统计学意义（P ＜0.05）。结论舒芬太尼对雷米芬太尼麻醉后早期疼痛具有较好的临床效果，优于芬太尼。%Objective To study the clinical effect of sufentanil in preventing the early pain of remifentanil anesthesia. Methods Selected 100 chest surgery patients applied with remifentanil from our hospital and randomly divided it into the fentanyl group and the sufentanil group,each with 50 patients,and compared the pain treatment effect of the two groups after operation. Results The visual analog pain scores(VAS)of the sufentanil group 1 and 3 h after operation were significantly lower than those of the fentanyl group(P < 0.05),the occurrence ratio of using additional fentanyl for the fentanyl group and the sufentanil group was 50.0% and 4.0%,the difference of the two group was statistical y significant(P < 0.05). Conclusion The clinical effect of sufentanil on the early pain of remifentanil anesthesia is good and significantly better than that of fentanyl.
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