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- W2381537017 abstract "Objective To investigate the administration of different antalgic modes for postoperative analgesia in elderly patients undergoing orthopedic surgery.Methods One hundred and twenty elderly patients undergoing selective hip joint or thighbone surgery were randomized into sulfentanyl group(group SF),dezocine group(group DZX)and levobupivacaine group(group ZB),with 40 participants in each group.The postoperative antalgic modes were as follows:in group SF,100μg sulfentanyl and 100 ml normal saline(NS)were used for patient-controlled intravenous analgesia(PCIA);in group DZX,10mg dezocine and 100ml NS were used for PCIA;in group ZB,0.125%levobupivacaine and 100μg sulfentanyl diluted to 100 ml with NS were used for patientcontrolled epidural analgesia(PCEA).Visual analogue scale(VAS),Brinell comfort scale(BCS),the modified Bromage grade(MBG)were evaluated and recorded at 4h,8h,20h,24h,and 48h after the operation.Complications,such as nausea and vomit,respiratory depression,hypotension and the time of passage of gas by anus were recorded.The actual times of using PCA and the effective times of using PCA were recorded within 24h and 48h postoperatively.Results VSA in the group DZX was higher than groups SF and ZB at 20h and 24h postoperatively(P0.05);MBG in the group ZB was higher than the groups SF and DZX at 4h and 8h postoperatively(P0.05);There was no significant difference in BCS scores of the three groups.The actual times and effective times of using PCA in the group DZX were significantly more than the other two groups within 24h and 48h postoperatively(P0.05);12cases in the group SF had nausea and vomit,which were significantly more than 5 cases in group DZX and 3 cases in group ZB(P0.05).Conclusion PCEA with 0.125%levobupivacaine and 100μg sulfentanyl was better than the sulfentanyl 100μg or dezocine 10mg." @default.
- W2381537017 created "2016-06-24" @default.
- W2381537017 creator A5038572823 @default.
- W2381537017 date "2013-01-01" @default.
- W2381537017 modified "2023-09-23" @default.
- W2381537017 title "Clinical observation on different mode of analgesia in elderly patients undergoing orthopedic surgery" @default.
- W2381537017 hasPublicationYear "2013" @default.
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