摘要:目的 观察氯诺昔康于开胸术毕加强镇痛的疗效。 方法 选择40例单纯全麻开胸患者随机分为两组，麻醉前及关胸时静脉用药，Ⅰ组(n=20)静注氯诺昔康8mg，Ⅱ组(n=20)静注0.9%氯化钠2ml。观察指标为躁动评分、Ramsay镇静评分、BCS舒适评分、心率、平均动脉压及不良反应。观察时间点为:麻醉前、术毕清醒时、气管拔管时、拔管后5min和10min。 结果 与麻醉前各值比较，拔管时心率、平均动脉压各组明显升高(P<0.05)，5min后恢复到麻醉前水平;术毕清醒时、拔管后10min，Ⅰ组与Ⅱ组相比，躁动显著减少(P<0.05);Ⅰ组与Ⅱ组相比，镇静差异无显著性(P>0.05);Ⅰ组比Ⅱ组舒适(P<0.05);两组都无明显恶心、呕吐。结论 氯诺昔康可加强单纯全麻开胸术毕苏醒期患者镇痛，防治苏醒期躁动。

    关键词:氯诺昔康;开胸术毕;加强镇痛

    The analgesia effect of lornoxicam on postoperative patients.

    ZHANG Su-he，XIN Ying-qing，CHENG Ming-hua.

    (De-partment of Anesthesia of the First Affiliated Hospital of Shantou University Medical College，Shantou515041，Guangdong，P，.R.China)

    Abstract:Obiective To assess the analgesia effect of lornoxicam at postoperative thoracic surgery. Methods 40patients underwent thoracic surgery and general anesthesia were randomly divided into two groups.Patients in GroupⅠ(n=20)were intra-venously injected with lornoxicam8mg and GroupⅡ(n=20)with normal saline2ml before anesthesia and closing thoracic cavity.The effectiveness was assessed with restlessness score ......