中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2014, Vol. 36 ›› Issue (4): 385-388.doi: 10.3881/j.issn.1000-503X.2014.04.007

• 论著 • 上一篇    下一篇

恢复室镇痛与术中瑞芬太尼的相关性

徐建青1,张静2   

  1. 中国医学科学院 北京协和医学院 北京协和医院 1麻醉科 2手术室,北京 100730
  • 收稿日期:2014-02-12 出版日期:2014-08-31 发布日期:2014-08-31
  • 通讯作者: 徐建青 电话:010-69155582,电子邮件:jqxu@163bj.com
  • 基金资助:
    国家自然科学基金(81271180,31200741)和北京科技新星计划(Z14111000180000)

Correlation between Analgesia in the Postanesthesia Care Unit and Intraoperative Remifentanil

XU Jian-qing1,ZHANG Jing2   

  1. 1Department of Anesthesiology,2Operating Rooms,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2014-02-12 Online:2014-08-31 Published:2014-08-31
  • Contact: XU Jian-qing Tel:010-69155582,E-mail:jqxu@163bj.com
  • Supported by:
    Supported by the National Natural Sciences Foundation of China(81271180,31200741)and Beijing Nova Program(Z14111000180000);第一二位作者对本文贡献一致The first two authors contributed equally to this article

摘要: 目的 分析恢复室镇痛与术中瑞芬太尼的相关性。方法 在电子病历数据库中检索5 594例恢复室患者的数据,记录恢复室镇痛药物和术中瑞芬太尼的使用情况,并采用计数资料实施病例-对照研究。结果 5 594例患者中,205例(3.66%)在麻醉恢复室接受镇痛药物治疗。在成组病例-对照研究中,病例组与对照组的瑞芬太尼应用比例分别为87/205和1 224/5 389(OR=2.51,95% CI=1.87~3.36,P=0.000)。在配对病例-对照研究中,共205个“对子”(OR=1.67,95% CI=1.12~2.80,P=0.011)。结论 在一定程度上麻醉恢复室镇痛与术中瑞芬太尼可能有关。

关键词: 瑞芬太尼, 术后麻醉, 麻醉恢复室, 病例-对照研究

Abstract: Objective To analyze the correlation between analgesia in the postanesthesia care unit and intraoperative remifentanil. Methods The data of 5 594 patients in the postanesthesia care unit were retrospectively retrieved from the database of electronic medical record. The use of analgesic drugs in the postanesthesia care unit and intraoperative remifentanil was recorded,and case-control study was performed based on these enumeration data. Results A total of 205 (3.66%)patients out of 5 594 in the postanesthesia care unit were administered with analgesic drugs. In the grouped case-control study,remifentanil was intraoperatively used in 87 patients in the case group (n=205) and in 1 224 patients in the control group (n=5 389) (OR=2.51,95%CI=1.87-3.36,P=0.000). There were 205 “paired numbers” in the matched case-control study (OR=1.67,95%CI=1.12-2.80,P=0.011). Conclusion The analgesia in the postanesthesia care unit may be correlated with intraoperative remifentanil to a certain extent.

Key words: remifentanil, postoperative anesthesia, postanesthesia care unit, case-control study

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