中国临床新医学
中國臨床新醫學
중국림상신의학
Chinese Journal of New Clinical Medicine
2015年
9期
836-838
,共3页
地佐辛%腹腔镜胆囊切除术%急性结石嵌顿性胆囊炎%苏醒期%躁动%疼痛效果
地佐辛%腹腔鏡膽囊切除術%急性結石嵌頓性膽囊炎%囌醒期%躁動%疼痛效果
지좌신%복강경담낭절제술%급성결석감돈성담낭염%소성기%조동%동통효과
Dezocine%Laparoscopic cholecystectomy%Acute calculus incarcerated cholecystitis%A-wakening period%Restlessness%Pain
目的：探讨地佐辛预防腹腔镜胆囊切除术治疗急性结石嵌顿性胆囊炎患者苏醒期躁动及疼痛的效果。方法选择2012-06～2014-06该院普外科收治的80例急性结石嵌顿性胆囊炎患者为研究对象，所有患者均行腹腔镜胆囊切除术治疗，采用计算机随机分组的方式将患者分为观察组和对照组各40例。手术结束前15 min，观察组给予静脉滴注0.1 mg／kg地佐辛，对照组给予静脉滴注1μg／kg芬太尼，比较两组自主呼吸恢复时间、唤醒时间、拔管时间、视觉模拟评分、躁动评分和拔管后不良反应等情况。结果观察组平均自主呼吸恢复时间、平均唤醒时间、平均拔管时间明显短于对照组（P＜0.05），拔管后出现的不良反应发生率低于对照组（ P＜0.05）。两组拔管时和拔管后15 min视觉模拟评分和躁动评分比较差异均无统计学意义（ P＞0.05）。结论手术结束前15 min静注地佐辛0.1 mg／kg能够有效地预防腹腔镜胆囊切除术治疗急性结石嵌顿性胆囊炎患者苏醒期躁动及其疼痛，值得临床推广应用。
目的：探討地佐辛預防腹腔鏡膽囊切除術治療急性結石嵌頓性膽囊炎患者囌醒期躁動及疼痛的效果。方法選擇2012-06～2014-06該院普外科收治的80例急性結石嵌頓性膽囊炎患者為研究對象，所有患者均行腹腔鏡膽囊切除術治療，採用計算機隨機分組的方式將患者分為觀察組和對照組各40例。手術結束前15 min，觀察組給予靜脈滴註0.1 mg／kg地佐辛，對照組給予靜脈滴註1μg／kg芬太尼，比較兩組自主呼吸恢複時間、喚醒時間、拔管時間、視覺模擬評分、躁動評分和拔管後不良反應等情況。結果觀察組平均自主呼吸恢複時間、平均喚醒時間、平均拔管時間明顯短于對照組（P＜0.05），拔管後齣現的不良反應髮生率低于對照組（ P＜0.05）。兩組拔管時和拔管後15 min視覺模擬評分和躁動評分比較差異均無統計學意義（ P＞0.05）。結論手術結束前15 min靜註地佐辛0.1 mg／kg能夠有效地預防腹腔鏡膽囊切除術治療急性結石嵌頓性膽囊炎患者囌醒期躁動及其疼痛，值得臨床推廣應用。
목적：탐토지좌신예방복강경담낭절제술치료급성결석감돈성담낭염환자소성기조동급동통적효과。방법선택2012-06～2014-06해원보외과수치적80례급성결석감돈성담낭염환자위연구대상，소유환자균행복강경담낭절제술치료，채용계산궤수궤분조적방식장환자분위관찰조화대조조각40례。수술결속전15 min，관찰조급여정맥적주0.1 mg／kg지좌신，대조조급여정맥적주1μg／kg분태니，비교량조자주호흡회복시간、환성시간、발관시간、시각모의평분、조동평분화발관후불량반응등정황。결과관찰조평균자주호흡회복시간、평균환성시간、평균발관시간명현단우대조조（P＜0.05），발관후출현적불량반응발생솔저우대조조（ P＜0.05）。량조발관시화발관후15 min시각모의평분화조동평분비교차이균무통계학의의（ P＞0.05）。결론수술결속전15 min정주지좌신0.1 mg／kg능구유효지예방복강경담낭절제술치료급성결석감돈성담낭염환자소성기조동급기동통，치득림상추엄응용。
Objective To study the stir and pain prevention and treatment effect by dezocine of the acute calculus incarcerated cholecystitis patients treated by laparoscopic cholecystectomy during the awakening period . Methods 80 patients with acute calculus incarcerated cholecystitis treated in the general surgery department from June 2012 to June 2014 were selected as the research subjects .All patients who were performed by laparoscopic chol-ecystectomy were divided into the control group and the observation group .The control group was given 1μg/kg fent-anyl by intravenous drip and the observation group was given 0.1 mg/kg dezocine by intravenous drip 15 minutes be-fore the end of the surgery .The spontaneous breathing recovery time , waking up time , extubation time , visual ana-logue scale, agitation score and adverse reactions occurred after extubation were compared between the two groups . Results The spontaneous breathing recovery time , the average wake-up time and the average decannulation time in the observation group were significantly less than those in the control group ( P<0.05 ) .Conclusion Dezocine is ef-fective to prevent stir and pain in the acute calculus incarcerated cholecystitis patients treated by laparoscopic chole -cystectomy during the awakening period .
