目的：研究肝胆手术后患者应用静脉镇痛的临床疗效和安全性。方法选择2012年1月~2013年2月肝胆手术患者62例,将患者随机分为A、B两组,每组31例。A组患者在手术后静脉注射曲马多100 mg治疗镇痛, B组患者在A组基础上给予地佐辛20 mg+生理盐水至100 ml镇痛泵做静脉镇痛治疗。观察两组患者肝胆手术后的镇痛效果。结果两组患者术后镇痛治疗均有效果,B组患者的术后镇痛效果优于A组,两组对比差异有统计学意义(P<0.05)。结论肝胆手术后给予患者静脉镇痛治疗能够有效减少患者的疼痛应急反应,减少术后并发症,值得在临床上大力推广。%Objective To study clinical efficacy and safety of intravenous analgesia in patients with liver and gallbladder surgery. Methods From January 2012 to February 2013, 62 cases of liver and gallbladder surgery patients were randomly divided into two groups, 31 cases in each group. After surgery, group A treated with 100 mg intravenous tramadol for analgesia, group B treated with symplectic 20 mg+saline intravenous analgesia to 100 ml for analgesia pump treatment based on group A, analgesic effect after liver and gallbladder surgery of two groups was observed. Results Postoperative analgesia effect showed in two groups postoperative analgesia effect of group B was better than group A, differences between the two groups were statistically significant(P<0.05). Conclusion Treatment with an intravenous analgesia in patients with liver and gallbladder surgery can effectively reduce pain in patients with emergency response and the postoperative complications, so it is worthy of clinical promotion.
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