CAJ | 학술논문

目的探讨氯胺酮对全身麻醉后阴茎勃起的治疗效果.方法 2011年4月至2013年8月于宁波大学医学院附属医院接受手术治疗的男性患者共741例,其中18例麻醉后发生阴茎勃起为勃起组,余723例为无勃起组.勃起组患者采用静脉注射氯胺酮进行治疗.对勃起组阴茎萎缩变软的时间,注射前后患者的血压、心率、心律及2组麻醉苏醒时间、术后意识障碍、恶心呕吐等情况进行观察.结果勃起组患者注射氯胺酮后阴茎萎缩变软的时间为(2.9 ±0.4) min;注射前患者的血压为(110±11)/(70 ±9) mmHg(1 mmHg=0.133 kPa),明显低于注射后的(147±11)/(94±10) mmHg,差异有统计学意义(t=7.51,t=10.26,均P＜0.05);注射后患者的心率为(89±9)次/min,明显快于注射前(64±8)次/rain,差异有统计学意义(=8.25,P＜0.05).勃起组患者的麻醉苏醒时间、术后意识障碍率、术后恶心呕吐率与非勃起组患者相比,差异均无统计学意义(t=0.90,x2=0.60,x2=0.52,均P＞0.05).结论氯胺酮治疗全身麻醉后阴茎勃起疗效明显,安全迅速.
목적 탐토록알동대전신마취후음경발기적치료효과.방법 2011년4월지2013년8월우저파대학의학원부속의원접수수술치료적남성환자공741례,기중18례마취후발생음경발기위발기조,여723례위무발기조.발기조환자채용정맥주사록알동진행치료.대발기조음경위축변연적시간,주사전후환자적혈압、심솔、심률급2조마취소성시간、술후의식장애、악심구토등정황진행관찰.결과 발기조환자주사록알동후음경위축변연적시간위(2.9 ±0.4) min;주사전환자적혈압위(110±11)/(70 ±9) mmHg(1 mmHg=0.133 kPa),명현저우주사후적(147±11)/(94±10) mmHg,차이유통계학의의(t=7.51,t=10.26,균P＜0.05);주사후환자적심솔위(89±9)차/min,명현쾌우주사전(64±8)차/rain,차이유통계학의의(=8.25,P＜0.05).발기조환자적마취소성시간、술후의식장애솔、술후악심구토솔여비발기조환자상비,차이균무통계학의의(t=0.90,x2=0.60,x2=0.52,균P＞0.05).결론 록알동치료전신마취후음경발기료효명현,안전신속.
Objective To explore the efficacy of ketamine for the treatment of penile erection after general anesthesia.Methods Eighteen cases with penile erection after general anesthesia received in our hospital from Apr.2011 to Aug.2013 were given intravenous ketamine for treatment.The time of penis atrophy and soften,blood pressure,heart rate,rhythm,anesthesia time,postoperative unconsciousness,nausea and vomiting before and after injection of the patients were observed.Results The time of penis atrophy and soften of 18 patients after injection was (2.9 ±0.4) min.Patient's blood pressure before injection was (110 ± 11)/(70 ±9) mmHg,which was significantly higher than that after injection [(147 ± 11)/(94 ± 10) mmHg] ; the difference was statistically significant (t =7.51,10.26,P ＜ 0.05).Patient's heart rate after injection was (89 ± 9) times/min,significantly faster than that before injection [(64 ± 8) times/min] ; the difference was statistically significant (t =8.25,P ＜0.05).The anesthesia time,postoperative unconsciousness rate,nausea and vomiting rate of 18 cases of patients with erectile using ketamine injections compared with patients with non-erectile had no significant differences (t =0.90,x2 =0.60,x2 =0.52,P ＞ 0.05).Conclusion Ketamine for the treatment of penile erection after general anesthesia is good.