Comparative study of Analgesic effect of Tramadol and Fentanyl PCSA in treatment of patients after cardiac surgery

Objective To study and discuss the mechanism of fentanyl analgesic tramadol PCSA and after cardiac surgery,clinical efficacy and safety.Method To extract cardiac surgery patients ASAⅠ ~ Ⅲ level in 40 cases,were divided into groups and fentanyl tramadol group 20 cases.Fentanyl group of patients after cardiac surgery patients were given the drug lidocaine and fentanyl analgesia,tramadol in patients after cardiac surgery patients were given the drug lidocaine and tramadol analgesia.PCA settings:a single dose of 1ml,load 2 ml,limit was 8 ml,lock time was 5 min.After completion of drug injection in the load range starts recording time was the onset time,while recording 12 h,24 h,36 h and 48 h of the indicators point in time after extubation.Results The analgesic tramadol group onset time,effective compressions and drug use were higher than after 12 h of fentanyl group,There were significant differences between the two groups (P 0.05) ,there were statistically significant.However,no significant difference between the two groups of patients satisfaction and postoperative evaluation of postoperative analgesia effective compression 24,48 h,so no statistical significance (P 0.05) .Conclusion PCSA with fentanyl tramadol is not significant difference in heart analgesic efficacy after surgery,but in the initial stages of the end of surgery,the analgesic tramadol consumption was significantly greater than fentanyl,and its side effects is also greater than fentanyl,to reduce side effects of repeated low-dose injection should tramadol analgesics.