To explore the effect of different drugs and infusion ways on degree of postoperative comfort.Patients undergoing spinal neoplasm surgery receive different patient controlled analgesia(PCA) drugs postoperatively,one group is sufentanil,the other is hydromorphone. Then each drug group will be divided into two subgroups according to the infusion way,intravenously,subcutaneously. During the patient controlled analgesia period, patients' degree of comfort,pain score,sleep quality, the degree of side reaction will be recorded.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
600
The PCA pumps contain sufentanil . And the pump is connected to participants intravenously .
The PCA pumps contain sufentanil. And the pump is connected to participants subcutaneously.
The PCA pumps contain hydromorphone. And the pump is connected to participants intravenously .
The First Affiliated Hosipital of China Medical University
Shenyang, Liaoning, China
Visual Analogue Scale of Comfort level
The participants' comfort level of the PCA."0" means extremely comfort, "10" means extremely discomfort.
Time frame: 48 hours after the use of PCA.
Ramsay sedation score
To evaluate the degree of sedation.
Time frame: 6hours,12hours,24hours and 48 hours after the use of PCA.
The degree of nausea
"0" means no nausea and vomiting,"1" means only nausea,"2"means nausea and vomiting .
Time frame: 6hours,12hours,24hours and 48 hours after the use of PCA.
The degree of dizziness
"0" means no dizziness,"1" means the time of dizziness less than 2 hours,"2" means the time of dizziness more than 2 hours.
Time frame: 6hours,12hours,24hours and 48 hours after the use of PCA.
Pupil diameter
The average diameter of both pupils measuring by pupil pen.
Time frame: 6hours,12hours,24hours and 48 hours after the use of PCA.
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The PCA pumps contain hydromorphone. And the pump is connected to participants subcutaneously.
The PCA pumps contain sufentanil and dexmedetomidine. And the pump is connected to participants intravenously .
The PCA pumps contain sufentanil and dexmedetomidine. And the pump is connected to participants subcutaneously.
The PCA pumps contain hydromorphone and dexmedetomidine. And the pump is connected to participants intravenously.
The PCA pumps contain hydromorphone and dexmedetomidine. And the pump is connected to participants subcutaneously