CAJ | 학술논문

目的：探讨地佐辛对瑞芬太尼复合七氟醚麻术后躁动的效果。方法选择本院采用瑞芬太尼复合七氟醚麻醉术的患者124例,分为对照组(30例),地佐辛组(33例),芬太尼组(32例)和曲马多组(29例)。观察恢复期的躁动情况并进行量化评分；记录苏醒和拔管的时间；测量拔管即刻(T0),拔管后半 h(T1/2),1 h(T1)时的疼痛视觉模拟评分(VAS)和镇静评分(Ramsay)。结果4组患者苏醒时间和拔管时间无统计学意义。处理组躁动发生及评分均较低,持续的时间较短( P<0.05),地佐辛,芬太尼和曲马多组的疼痛评分和镇静评分与对照组相比均有统计学意义(P<0.05),而地高辛的疼痛改善作用较曲马多明显,镇静作用较芬太尼效果好(P<0.05)。结论地佐辛能够有效的预防瑞芬太尼复合七氟醚麻醉后恢复期躁动的发生。
목적：탐토지좌신대서분태니복합칠불미마술후조동적효과。방법선택본원채용서분태니복합칠불미마취술적환자124례,분위대조조(30례),지좌신조(33례),분태니조(32례)화곡마다조(29례)。관찰회복기적조동정황병진행양화평분；기록소성화발관적시간；측량발관즉각(T0),발관후반 h(T1/2),1 h(T1)시적동통시각모의평분(VAS)화진정평분(Ramsay)。결과4조환자소성시간화발관시간무통계학의의。처리조조동발생급평분균교저,지속적시간교단( P<0.05),지좌신,분태니화곡마다조적동통평분화진정평분여대조조상비균유통계학의의(P<0.05),이지고신적동통개선작용교곡마다명현,진정작용교분태니효과호(P<0.05)。결론지좌신능구유효적예방서분태니복합칠불미마취후회복기조동적발생。
Objective To study effect Dezocine on Recovery Agitation after rui fentanyl combined with sevoflurane anesthesia.Methods 126 cases were collected with rui fentanyl combined with sevoflurane anesthesia, who were divided into control group, dezocine,fentanyl group. Agitation during the recovery period were observe and a quantitative scores were performed; the items about recovery time and extubation time were noted, pain visual analogue scale (VAS) and sedation scores (Ramsay) were performed at half an hour after extubation (T1 / 2 ), 1 hour (T1 ) . Results Recovery time and extubation time were not significant difference statis-tically. Agitation and scores for treated groups are low, short duration (P<0. 05) compared to control group, the effect of dezocine was more obvious than rui fentanyland tramadol. Pain score and sedation scores of treated group showed significant statistical difference compared with control group (P<0. 05), effect of dezocine on pain was better than tramadol and calming effect was more excellent than fentanyl (P<0. 05). Conclusion Dezocine could improve recovery rgitation after ruifentanyl combined with sevoflurane anesthe-sia.