|
|
Application effect of Midazolam combined with Sufentanil in sedation and analgesia in patients with severe acute pancreatitis |
CHEN Ming-di1 TIAN Bin-bin2 WU Qing-lan2 ZENG Yu2 HUANG Rong-xian3 |
1.Department of Critical Care Medicine,the Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524003,China;
2.Department of Respiratory Medicine,the First Clinical Graduate School of Guangdong Medical University,Zhanjiang 524001,China;
3.Department of Clinical Laboratory,Haitou Xinxing Community Health Service Center,Guangdong Province,Zhanjiang 524018,China |
|
|
Abstract Objective To observe the application effect of Midazolam combined with Sufentanil in sedation and analgesia in patients with severe acute pancreatitis(SAP).Methods All of 62 patients with SAP treated in clinical surgery of the Second Affiliated Hospital of Guangdong Medical University from January 2016 to January 2018 were selected and they were randomly divided into the research group(n=31)and the control group(n=31).The research group received Midazolam and Sufentanil,and the control group received Midazolam and Morphine.The sedative and analgesic effect between the two groups were compared.Results The time of sedation reaching the standard,awakening time after drug withdrawal and total hospitalization time of the study group were shorter than those of the control group,and the incidence of adverse reactions was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Midazolam combined with Sufentanil applied in SAP has good analgesic and sedative effect,good safety and is worthy of application.
|
|
|
|
|
[1] |
van Dijk SM,Hallensleben NDL,van Santvoort HC,et al.Acute pancreatitis:recent advances through randomised trials[J].Gut,2017,66(11):2024-2032.
|
[2] |
肖骏,李德科.舒芬太尼联合咪达唑仑对颅脑损伤患者的镇静镇痛效果及安全性分析[J]解放军医药杂志,2018,30(3):66-69.
|
[3] |
陈文豪.右美托咪啶联合舒芬太尼用于重症急性胰腺炎患者镇静镇痛临床观察[J].医学理论与实践,2018,31(8):1176-1177.
|
[4] |
Sharma A,Masood U,Khan B,et al.Pancreatitis with normal lipase and amylase in setting of end-stage renal disease[J].Am J Emerg Med,2017, 35(9):1387.e3-1387.e4.
|
[5] |
Ismail OZ,Bhayana V.Lipase or amylase for the diagnosis of acute pancreatitis?[J].Clin Biochem,2017,50(18):1275-1280.
|
[6] |
张斯,张卫,魏华,等.右美托咪定复合舒芬太尼在创伤骨科患者术后镇痛中应用[J].中华实用诊断与治疗杂志,2015,29(2):196-198.
|
[7] |
Baraibar AM,Gomez E.Dexamethasone ameliorates ratpancreatic ductular function derangement in argininein-duced a-cute pancreatitis[J].Pancreatology,2015,15(3):e2.
|
[8] |
向许进,耿智隆,华传宝,等.右美托咪定联合舒芬太尼对结肠癌术后镇痛镇静效果观察[J].人民军医,2016,59 (6):567.
|
[9] |
Chen X,Mou X,He Z,et al.The effect of midazolam on pain control after knee arthroscopy:a systematic review and meta-analysis[J].J Orthop Surg Res,2017,12(1):179.
|
[10] |
丘培利,肖建敏,王开宇,等.镇痛镇静对重型脑损伤患者心率变异性及血清儿茶酚胺变化的影响[J]福建医科大学学报,2016,50(1):31-37.
|
[11] |
赵军,成鹏,张小虎,等.舒芬太尼与咪达唑仑预防小儿门诊手术全身麻醉苏醒期躁动的效果对比[J].广西医科大学学报,2016,33(2):336-338.
|
[12] |
步美美,张勇,许莹,等.不同剂量舒芬太尼对妇科肿瘤患者全身麻醉的价值分析[J].实用癌症杂志 2015,30(2):288-291.
|
[13] |
Badenes R,Bilotta F.Inhaled sedation in acute brain injury patients[J].Br J Anaesth,2016,116(6):883-884.
|
[14] |
Barlass U,Dutta R,Cheema H,et al.Morphine worsens the severity and prevents pancreatic regeneration in mouse models of acute pancreatitis[J].Gut,2018,67(4):600-602.
|
[15] |
索利斌,李成辉,张金华,等.单纯输注瑞芬太尼及复合小剂量咪唑安定用于老年患者内镜逆行胰胆管造影术清醒镇静的比较[J].中国医学科学院学报,2014,36(2):201-205.
|
|
|
|