小剂量氯胺酮联合舒芬太尼自控静脉镇痛对宫颈癌患者术后应激反应及负性情绪的影响

Effects of low-dose ketamine combined with sufentanil-controlled intravenous analgesia on postoperative stress response and negative emotion in patients with cervical cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(5)
作者
作者单位

郑州大学第一附属医院 ;

摘要
【摘要】 分析宫颈癌行手术治疗的患者应用小剂量氯胺酮联合舒芬太尼自控静脉镇痛后效果。方法 将我院97例宫颈癌行手术治疗的患者采用随机数字表法分组,两组患者手术结束前10min均给予自控静脉镇痛,对照组48例给予舒芬太尼2μg/ kg,观察组49例增加氯胺酮5mg/kg联合镇痛,对比两组患者术后疼痛、自控静脉镇痛按压次数、负性情绪、应激水平及术后并发症发生率。结果 观察组术后1、12、24h VAS评分低于对照组,术后24h内自控静脉镇痛按压次数及Cor、E、NE水平低于对照组,术后24、48h SAS、SDS评分低于对照组(P<0.05);术后并发症无统计学意义(P>0.05)。结论 小剂量氯胺酮联合舒芬太尼自控静脉镇痛能够有效减轻宫颈癌术后患者疼痛,减轻机体应激反应,缓解术后焦虑抑郁情绪,安全性高。
Abstract
[Abstract] Objective To analyze the effect of low-dose ketamine combined with sufentanil for self-controlled intravenous analgesia in patients undergoing surgical treatment of cervical cancer. Methods A total of 97 patients undergoing surgical treatment of cervical cancer in our hospital were grouped by random number table. Both groups of patients were given self-controlled intravenous analgesia 10 minutes before the end of the operation. The control group was given sufentanil 2 μg/kg in 48 cases and the observation group was 49 cases. Increase ketamine 5mg/kg combined with analgesia, compare the postoperative pain, the number of self-controlled intravenous analgesia, negative emotions, stress level and the incidence of postoperative complications in the two groups of patients.Results The VAS score of the observation group was lower than that of the control group at 1, 12, and 24 hours after operation. The number of self-controlled intravenous analgesia and the levels of Cor, E, and NE were lower than that of the control group after 24 hours, and the SAS and SDS scores were lower than that of the control group at 24, 48 hours after operation. Control group (P<0.05); postoperative complications were not statistically significant (P>0.05). Conclusion Low-dose ketamine combined with sufentanil-controlled intravenous analgesia can effectively reduce the pain of cervical cancer patients after surgery, reduce the bodys stress response, relieve postoperative anxiety and depression, and have high safety.
关键词
【关键词】氯胺酮;舒芬太尼;宫颈癌;负性情绪
KeyWord
[Keywords] Ketamine; sufentanil; cervical cancer; negative emotions
基金项目
页码 1005-1008
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王继红*. 小剂量氯胺酮联合舒芬太尼自控静脉镇痛对宫颈癌患者术后应激反应及负性情绪的影响 [J]. 国际精神病学杂志. 2020; 47; (5). 1005 - 1008.

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