中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
10期
1045-1046,1049
,共3页
地佐辛%耳鼻喉手术%全身麻醉%苏醒期躁动
地佐辛%耳鼻喉手術%全身痳醉%囌醒期躁動
지좌신%이비후수술%전신마취%소성기조동
Dezocine%ENT Surgery%General anesthesia%Restlessness
目的:探讨地佐辛对减轻小儿耳鼻喉手术全身麻醉苏醒期躁动的作用。方法:选取我院收治的行全身麻醉耳鼻喉手术的小儿患者作为研究对象,并随机分为对照组和观察组,所有患者术前接受相同的治疗,使用东莨菪碱、芬太尼、异丙酚和罗库溴铵诱导麻醉,微量泵入异丙酚、瑞芬太尼维持麻醉。手术结束前观察组静脉滴注地佐辛,对照组滴注生理盐水。结果:两组小儿患者手术时间、麻醉时间及拔管时间差异无统计学意义(P>0.05),拔管后15min时,观察组患者的平均动脉压(79.0±6.9) mmHg和心率(98.0±15.5)次/min均低于对照组的平均动脉压(94.2±8.3)mmHg和心率(115.1±17.2)次/min,差异有统计学意义(P<0.05);观察组小儿患者躁动情况控制率显著(80.0%)高于对照组(26.7%),且观察组平均躁得分(0.67±0.11)低于对照组(1.96±0.46),差异有统计学意义(P<0.05)。结论:地佐辛对减轻小儿耳鼻喉手术全身麻醉苏醒期躁动效果显著。
目的:探討地佐辛對減輕小兒耳鼻喉手術全身痳醉囌醒期躁動的作用。方法:選取我院收治的行全身痳醉耳鼻喉手術的小兒患者作為研究對象,併隨機分為對照組和觀察組,所有患者術前接受相同的治療,使用東莨菪堿、芬太尼、異丙酚和囉庫溴銨誘導痳醉,微量泵入異丙酚、瑞芬太尼維持痳醉。手術結束前觀察組靜脈滴註地佐辛,對照組滴註生理鹽水。結果:兩組小兒患者手術時間、痳醉時間及拔管時間差異無統計學意義(P>0.05),拔管後15min時,觀察組患者的平均動脈壓(79.0±6.9) mmHg和心率(98.0±15.5)次/min均低于對照組的平均動脈壓(94.2±8.3)mmHg和心率(115.1±17.2)次/min,差異有統計學意義(P<0.05);觀察組小兒患者躁動情況控製率顯著(80.0%)高于對照組(26.7%),且觀察組平均躁得分(0.67±0.11)低于對照組(1.96±0.46),差異有統計學意義(P<0.05)。結論:地佐辛對減輕小兒耳鼻喉手術全身痳醉囌醒期躁動效果顯著。
목적:탐토지좌신대감경소인이비후수술전신마취소성기조동적작용。방법:선취아원수치적행전신마취이비후수술적소인환자작위연구대상,병수궤분위대조조화관찰조,소유환자술전접수상동적치료,사용동랑탕감、분태니、이병분화라고추안유도마취,미량빙입이병분、서분태니유지마취。수술결속전관찰조정맥적주지좌신,대조조적주생리염수。결과:량조소인환자수술시간、마취시간급발관시간차이무통계학의의(P>0.05),발관후15min시,관찰조환자적평균동맥압(79.0±6.9) mmHg화심솔(98.0±15.5)차/min균저우대조조적평균동맥압(94.2±8.3)mmHg화심솔(115.1±17.2)차/min,차이유통계학의의(P<0.05);관찰조소인환자조동정황공제솔현저(80.0%)고우대조조(26.7%),차관찰조평균조득분(0.67±0.11)저우대조조(1.96±0.46),차이유통계학의의(P<0.05)。결론:지좌신대감경소인이비후수술전신마취소성기조동효과현저。
Objective: To investigate the Dezocine pediatric ENT surgery to relieve restlessness general anesthesia role. Methods:Our hospital ENT surgery under general anesthesia in pediatric patients for the study and randomly divided into control group and observation group,all patients received the same treatment,the use of scopolamine,fontanel,protocol and rocuronium-induced anesthesia,micro-pump protocol remifentanil anesthesia was maintained.Before the end of surgery,intravenous Dezocine observation group and control group with normal saline infusion.Results:The two groups of pediatric patients operative time,anesthesia time and estuation time was no significant difference (P>0.05),15min after estuation,observe the group of patients with mean arterial pressure (79.0±6.9)mmHg and heart rate (98.0±15.5)times / min were lower than the control group, mean arterial pressure (94.2±8.3)mmHg and heart rate (115.1±17.2)times / min,the difference was statistically significant (P<0.05);observation group control rate of pediatric patients restlessness significantly (80.0%) was higher (26.7%),and the observation group,the average score of manic (0.67±0.11) than the control group (1.96 ± 0.46),the difference was statistically significant (P<0.05).Conclusion:Dezocine pediatric ENT surgery to relieve restlessness general anesthesia effect is remarkable, worthy of promotion.