CAJ | 학술논문

目的：探讨结直肠手术患者全麻拔管后肌松残余的发生率及其应对措施。方法将我院100例全身麻醉结直肠手术患者资料进行整理分析，同时使用肌松监测仪监测肌松及评估患者肌松残余的发生率，并分析预防患者出现术后肌松残余的措施。结果结直肠手术全麻患者术后用客观评估法拔管后肌松残余的发生率为63%，肌松残余组与非肌松残余组在患者体质量、年龄、肌松剂类型方面比较有显著差别（P＜0.05）；手术过程中要注意麻醉管理，最大限度降低术后肌松残余发生率，防止并发症的发生。结论结直肠手术全麻患者术后肌松残余的发生率明显升高，所以要注意患者手术过程中的麻醉管理，加强监测。
목적：탐토결직장수술환자전마발관후기송잔여적발생솔급기응대조시。방법장아원100례전신마취결직장수술환자자료진행정리분석，동시사용기송감측의감측기송급평고환자기송잔여적발생솔，병분석예방환자출현술후기송잔여적조시。결과결직장수술전마환자술후용객관평고법발관후기송잔여적발생솔위63%，기송잔여조여비기송잔여조재환자체질량、년령、기송제류형방면비교유현저차별（P＜0.05）；수술과정중요주의마취관리，최대한도강저술후기송잔여발생솔，방지병발증적발생。결론결직장수술전마환자술후기송잔여적발생솔명현승고，소이요주의환자수술과정중적마취관리，가강감측。
Objective To study the patients with colorectal surgery the incidence of muscle relaxant residual after general anesthesia and its countermeasures.Methods Our hospital 100 cases of colorectal patients under general anesthesia to collate data analysis colorectal surgery, using neuromuscular monitoring and assessment of the patient monitoring NMB incidence of residual NMB and analyzing the prevention of postoperative residual NMB measures to patients.Results Postoperatively in patients with colorectal surgery anesthesia with objective evaluation method of the incidence of muscle relaxant residual after extubation was 63%, the residual group with the muscle relaxant residual muscle relaxant in patients' body quality, age, type of nondepolarizing agent has more significant difference (P<0.05); should pay attention to during the process of surgery anesthesia management, maximum limit reduce the incidence of postoperative muscle relaxant residual, prevent the occurrence of complications.Conclusion Patients with colorectal surgery anesthesia significantly higher incidence of postoperative residual of muscle relaxant, so pay attention to the patients in the process of surgery anesthesia management, strengthen the monitoring.