本文選題：麻醉 + 更年期女性��； 參考：《臨床醫(yī)藥文獻(xiàn)電子雜志》2016年21期

【摘要】：目的觀察更年期女性交通事故傷致顱內(nèi)出血治療中應(yīng)用羅哌卡因的療效。方法選取2010年3月~2016年1月我院收治的擬行更年期女性交通事故傷致顱內(nèi)出血手術(shù)治療且采用硬膜外麻醉者27例作為研究對象,按照隨機數(shù)字表法分組為對照組14例與觀察組13例。統(tǒng)計兩組患者術(shù)后自主呼吸恢復(fù)時間、意識恢復(fù)時間、術(shù)后心率、拔管時間、平均動脈壓及脈搏氧飽和度,統(tǒng)計兩組患者術(shù)后1、2、4、6 h疼痛情況,觀察兩組藥物不良反應(yīng)等。結(jié)果兩組患者術(shù)后自主呼吸恢復(fù)時間、意識恢復(fù)時間、術(shù)后心率、拔管時間、平均動脈壓及脈搏氧飽和度比較,差異無統(tǒng)計學(xué)意義(P0.05);觀察組患者于術(shù)后1、2、4、6 h VAS評分明顯低于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論應(yīng)用0.2%羅哌卡因具有較好麻醉及鎮(zhèn)痛療效。
[Abstract]:Objective to observe the effect of ropivacaine in the treatment of intracranial hemorrhage caused by traffic accident in climacteric women.Methods from March 2010 to January 2016, 27 patients with intracranial hemorrhage due to menopausal traffic accident were treated with epidural anesthesia.According to random digital table method, 14 cases in control group and 13 cases in observation group were divided into two groups.The time of spontaneous respiration recovery, recovery of consciousness, heart rate, extubation time, mean arterial pressure and pulse oxygen saturation were counted.Results the time of spontaneous respiration recovery, consciousness recovery, heart rate, extubation time, mean arterial pressure and pulse oxygen saturation were compared between the two groups.The VAS score of the patients in the observation group was significantly lower than that in the control group at 1: 2 and 4 hours after operation, and the difference was statistically significant (P 0.05).Conclusion 0.2% ropivacaine is effective in anaesthesia and analgesia.
【作者單位】： 黑龍江省牡丹江市第二人民醫(yī)院麻醉科;
【分類號】：R614.42
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本文編號：1742236