RESUMEN
Objective To analyze the effects of nabuprofen combined with sufentanil on Ramsay sedation score,visual analogue scale (VAS) and analgesic effect in patients undergoing total hip arthroplasty (THA) for patient-controlled intravenous analgesia (PCIA).Methods From January 2017 to December 2017,72 patients with THA in the Department of Orthopedics from the People's Hospital of Linfen were divided into three groups:A group was given nabuprofen,B group was given sufentanil,C group was given nabuprofen + sufentanil,with 24 cases in each group.Ramsay sedation score,VAS score and analgesic effect were compared among the three groups before and after operation.Results The Ramsay sedation scores of A group at 3,12 and 24 hours after operation were (2.78 ±0.32) points,(2.59 ± 0.40) points and (2.4 ± 0.26) points,respectively,and the Ramsay sedation scores of C group at 3,12 and 24 hours after operation were (2.37 ± 0.24) points,(2.0 ± 0.15) points,(1.89 ± 0.22) points,respectively,which were decreased significantly compared with those of B group at the same time point [(3.07 ± 0.58) points,(3.01 ±0.62)points and (2.73 ±0.47)points] (Fbetween group =6.83,Pbetween group =0.01;Ftime point =7.24,Ptime point <0.01;Fbeyween group· time point =0.69,Pbetween group.timepoint =0.40).The VAS scores of group B at 3,12 and 24 hours after operation were (2.40 ± 0.72) points,(1.98 ± 0.57) points and (1.24 ± 0.38) points,respectively,and the VAS scores of C group at 3,12 and 24 hours after operation were (2.35 ± 0.75) points,(1.74 ± 0.46) points and (1.18 ±0.26) points,respectively,which were decreased significantly compared with those of A group at the same time point [(3.35 ± 0.59) points,(3.18 ± 0.46) points and (3.01 ± 0.33) points] (Fbetween group =7.02,Pbetween group < 0.01;Ftime point =5.42,Ptime point =0.02;Fbetween group· time point =0.39,Pbetween gronp· time point =0.68).There was statistically significant difference among the three groups (x2 =7.66,P <0.05).The analgesic satisfaction of C group (91.67%) was significantly higher than that of A group (58.33%) and B group (62.50%) (x2 =5.44,4.25,all P < 0.05).Conclusion The sedative and analgesic effects of PCIA nabuprofen combined with sufentanil for patients with THA are definite and comfortable,which can effectively alleviate pain,so it has a definite clinical application value.
RESUMEN
Objective@#To analyze the effects of nabuprofen combined with sufentanil on Ramsay sedation score, visual analogue scale (VAS) and analgesic effect in patients undergoing total hip arthroplasty (THA) for patient-controlled intravenous analgesia (PCIA).@*Methods@#From January 2017 to December 2017, 72 patients with THA in the Department of Orthopedics from the People's Hospital of Linfen were divided into three groups: A group was given nabuprofen, B group was given sufentanil, C group was given nabuprofen + sufentanil, with 24 cases in each group.Ramsay sedation score, VAS score and analgesic effect were compared among the three groups before and after operation.@*Results@#The Ramsay sedation scores of A group at 3, 12 and 24 hours after operation were (2.78±0.32)points, (2.59±0.40)points and (2.4±0.26)points, respectively, and the Ramsay sedation scores of C group at 3, 12 and 24 hours after operation were (2.37±0.24)points, (2.0±0.15)points, (1.89±0.22)points, respectively, which were decreased significantly compared with those of B group at the same time point [(3.07±0.58)points, (3.01±0.62)points and (2.73±0.47)points] (Fbetween group=6.83, Pbetween group=0.01; Ftime point=7.24, Ptime point<0.01; Fbetween group·time point=0.69, Pbetween group·time point=0.40). The VAS scores of group B at 3, 12 and 24 hours after operation were (2.40±0.72)points, (1.98±0.57)points and (1.24±0.38)points, respectively, and the VAS scores of C group at 3, 12 and 24 hours after operation were (2.35±0.75)points, (1.74±0.46)points and (1.18±0.26)points, respectively, which were decreased significantly compared with those of A group at the same time point [(3.35±0.59)points, (3.18±0.46)points and (3.01±0.33)points] (Fbetween group=7.02, Pbetween group<0.01; Ftime point=5.42, Ptime point=0.02; Fbetween group·time point=0.39, Pbetween group·time point=0.68). There was statistically significant difference among the three groups (χ2=7.66, P<0.05). The analgesic satisfaction of C group (91.67%) was significantly higher than that of A group (58.33%) and B group (62.50%) (χ2=5.44, 4.25, all P<0.05).@*Conclusion@#The sedative and analgesic effects of PCIA nabuprofen combined with sufentanil for patients with THA are definite and comfortable, which can effectively alleviate pain, so it has a definite clinical application value.