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目的 观察帕歌斯对手外伤患者的镇痛效果、副作用和术后吗啡类药物的使用情况。方法 选择急诊手外伤 82例 ,按住院号末尾数的奇偶随机平分为观察组和对照组 ,前者口服帕歌斯 ,后者口服散利痛。按 11点数字记分法评估镇痛效果。结果 观察组和对照组持续疼痛均有良好的镇痛效果(P <0 .0 5 ) ,帕歌斯起效缓慢 ,作用持久 ,无明显毒副作用 ,术后度冷丁使用人次少于散利痛。散利痛起效快 ,作用时间较帕歌斯短 ,胃肠道副作用和皮疹发生率高 ,分别为 18%、6%。结论 帕歌斯对手外伤病人能有效地镇痛 ,减少吗啡类药品的应用 ,起效缓慢、作用持久 ,无明显副作用 ,可长期用于手外伤患者。
Objective To observe the analgesic effect, side effects and the use of postoperative morphine in patients with Paros injury. Methods Eighty-two cases of hand injuries were selected and randomly divided into observation group and control group according to the odd and even numbers at the end of hospitalization. The former was given oral administration of Pagos, the latter oral sore throat. The 11-point numerical scoring method was used to assess the analgesic effect. Results Both the observation group and the control group had a good analgesic effect on persistent pain (P <0.05). The effect of Pagos was slow and long-lasting, with no obvious side effects. After operation, . Sanjie pain onset fast, the role of time shorter than Pagos, gastrointestinal side effects and high incidence of rash, respectively, 18%, 6%. Conclusion Parox could effectively relieve pain and reduce the use of morphine in patients with traumatic injury. It has a slow onset of action and long lasting effects with no obvious side effects and can be used for long-term hand injuries.