CAJ | 학술논문

目的观察预先静脉注射布托啡诺对下腹部手术腰硬联合麻醉后寒战反应的影响.方法选择60例ASA Ⅰ～Ⅱ级下腹部手术腰硬联合麻醉患者,随机分为两组A组(观察组)、B组(对照组),A组在腰硬联合麻醉前10 min静脉注射布托啡诺1 mg/5 ml,B组注射5 ml生理盐水.观察麻醉后两组患者寒战发生的情况及镇静评分.结果观察组寒战反应发生率明显低于对照组(P<0.01),镇静评分满意率观察组显著高于对照组(P<0.05).结论预先静脉注射布托啡诺能够有效地预防下腹部手术腰硬联合麻醉后寒战的发生,且镇静效果满意.
목적 관찰예선정맥주사포탁배낙대하복부수술요경연합마취후한전반응적영향.방법 선택60례ASA Ⅰ～Ⅱ급하복부수술요경연합마취환자,수궤분위량조A조(관찰조)、B조(대조조),A조재요경연합마취전10 min정맥주사포탁배낙1 mg/5 ml,B조주사5 ml생리염수.관찰마취후량조환자한전발생적정황급진정평분.결과 관찰조한전반응발생솔명현저우대조조(P<0.01),진정평분만의솔관찰조현저고우대조조(P<0.05).결론 예선정맥주사포탁배낙능구유효지예방하복부수술요경연합마취후한전적발생,차진정효과만의.
Objective To assess the effects of pre-treatment with butorphanol on postanesthesia shivering in patients undergoing operation of hypogastric zone after combined spinal-epidural anesthesia. Methods Sixty patients (ASA Ⅰ,Ⅱ) undergoing operation of hypogastric zone were randomly assigned into two groups(n = 30). Group A(test group) : The patients were injected intravenously with butorphanoi 1 mg/5 ml at the time of 10 min before combined spinal-epidural anesthesia. Group B(control group) : The patients were injected intravenously with 0.9% saline 5 ml at the same time point. The development of shivering and sedation degree was observed after the anesthesia. Results The incidence rate on shivering in test group was significantly lower than that in control group(P <0.01). While the satisfaction rate on sedation score in test group was higher than that in control group(P < 0.05). Conclusion Pre-treatment with butorphanol is effective and safe on poatanesthesia shivering in patients undergoing operation of hypogastric zone.