中国保健营养
中國保健營養
중국보건영양
China Health Care & Nutrition
2015年
13期
7-8
,共2页
右美托咪%神经外科全麻%术后躁动%预防%临床效果
右美託咪%神經外科全痳%術後躁動%預防%臨床效果
우미탁미%신경외과전마%술후조동%예방%림상효과
目的 探讨右美托咪定预防神经外科全麻术后躁动的临床效果. 方法 选取2013年10月——2015年7月在我院行神经外科全麻手术的患者80例,并随机分为生理盐水组和右美托咪定组各40例,两组患者均在术闭前10min停用顺式阿曲库铵、七氟醚及,生理盐水组静脉泵注等剂量生理盐水,右美托咪定组静脉泵注右美托咪定,记录麻醉前、拔管即刻、拔管后5min时两组患者的HR、MAP、Sp02变化情况,对两组患者躁动发生情况、拔管时间、定向力恢复时间、曲马多使用患者数、术后痛VAS评分进行比较. 结果 麻醉前两组患者HR、MAP、Sp02无明显差,拔管即刻、拔管后5min时两组患者Sp02 无明显差异,P>0.05,无统计学意义;拔管即刻、拔管后5min时右美托咪定组患者MAP明显下降,生理盐水组患者 MAP明显升高,右美托咪定组患者 HR明显减慢,生理盐水组患者HR明显加快,两组差异明显P<0 .05 ,有统计学意义. 按照分级标准生理盐水组中严重患者数明显多于右美托咪定组,生理盐水组患者躁动评分、躁动发生率明显高于右美托咪定组,P<0.05,有统计学意义;两组患者拔管时间、定向力恢复时间无明显差异,P>0.05,无统计学意义;生理盐水组曲马多使用患者数明显多于右美托咪定组,术后疼痛VAS评分明显高于右美托咪定组,P<0.05,有统计学意义. 结论 对神经外科全麻患者静脉泵注右美托咪定可有效减轻拔管期间患者的应激反应,有效预防术后躁动的发生.
目的 探討右美託咪定預防神經外科全痳術後躁動的臨床效果. 方法 選取2013年10月——2015年7月在我院行神經外科全痳手術的患者80例,併隨機分為生理鹽水組和右美託咪定組各40例,兩組患者均在術閉前10min停用順式阿麯庫銨、七氟醚及,生理鹽水組靜脈泵註等劑量生理鹽水,右美託咪定組靜脈泵註右美託咪定,記錄痳醉前、拔管即刻、拔管後5min時兩組患者的HR、MAP、Sp02變化情況,對兩組患者躁動髮生情況、拔管時間、定嚮力恢複時間、麯馬多使用患者數、術後痛VAS評分進行比較. 結果 痳醉前兩組患者HR、MAP、Sp02無明顯差,拔管即刻、拔管後5min時兩組患者Sp02 無明顯差異,P>0.05,無統計學意義;拔管即刻、拔管後5min時右美託咪定組患者MAP明顯下降,生理鹽水組患者 MAP明顯升高,右美託咪定組患者 HR明顯減慢,生理鹽水組患者HR明顯加快,兩組差異明顯P<0 .05 ,有統計學意義. 按照分級標準生理鹽水組中嚴重患者數明顯多于右美託咪定組,生理鹽水組患者躁動評分、躁動髮生率明顯高于右美託咪定組,P<0.05,有統計學意義;兩組患者拔管時間、定嚮力恢複時間無明顯差異,P>0.05,無統計學意義;生理鹽水組麯馬多使用患者數明顯多于右美託咪定組,術後疼痛VAS評分明顯高于右美託咪定組,P<0.05,有統計學意義. 結論 對神經外科全痳患者靜脈泵註右美託咪定可有效減輕拔管期間患者的應激反應,有效預防術後躁動的髮生.
목적 탐토우미탁미정예방신경외과전마술후조동적림상효과. 방법 선취2013년10월——2015년7월재아원행신경외과전마수술적환자80례,병수궤분위생리염수조화우미탁미정조각40례,량조환자균재술폐전10min정용순식아곡고안、칠불미급,생리염수조정맥빙주등제량생리염수,우미탁미정조정맥빙주우미탁미정,기록마취전、발관즉각、발관후5min시량조환자적HR、MAP、Sp02변화정황,대량조환자조동발생정황、발관시간、정향력회복시간、곡마다사용환자수、술후통VAS평분진행비교. 결과 마취전량조환자HR、MAP、Sp02무명현차,발관즉각、발관후5min시량조환자Sp02 무명현차이,P>0.05,무통계학의의;발관즉각、발관후5min시우미탁미정조환자MAP명현하강,생리염수조환자 MAP명현승고,우미탁미정조환자 HR명현감만,생리염수조환자HR명현가쾌,량조차이명현P<0 .05 ,유통계학의의. 안조분급표준생리염수조중엄중환자수명현다우우미탁미정조,생리염수조환자조동평분、조동발생솔명현고우우미탁미정조,P<0.05,유통계학의의;량조환자발관시간、정향력회복시간무명현차이,P>0.05,무통계학의의;생리염수조곡마다사용환자수명현다우우미탁미정조,술후동통VAS평분명현고우우미탁미정조,P<0.05,유통계학의의. 결론 대신경외과전마환자정맥빙주우미탁미정가유효감경발관기간환자적응격반응,유효예방술후조동적발생.
Objective To study the right supporting microphones set to prevent the neurosurgical anesthesia clinical effect of postoperative agitation .Methods Selec-tion in October 2013-July 2015 in our hospital neurosurgery operation ,80 cases of patients with general anesthesia ,and randomly divided intoPhysiological saline group and right beautiful mi set group 40 cases,each of two groups of patients with restless happening,extubation time,orientationPower recovery time,the number of patients with tramadol use,postoperative pain VAS score were compared.Results according to the grading standardSevere patients in the quasi physiological saline group was obvi-ously more than right beautiful mi set group ,saline group of patients agitation score ,Agitation rate significantly higher than the right beauty microphones set group ,P <0.05,there is statistical significance;Two groups of patients with extubation time,Directional force recovery time no significant difference,P >0.05,no statistical signifi-cance;Use more saline suite horsesNumber of patients significantly more than the right beauty microphones set group ,postoperative pain VAS score significantly higher than the right beauty microphones set group,P <0.05,There are statistical significance.Conclusion Intravenous injection pump in patients with neurosurgical anesthe-sia right beauty's microphones set can effectively reduce the tube drawing during the patient's stress response,effectively prevent the occurrence of postoperative agitation.
