本文選題：蘇醒期躁動 + 地佐辛　； 參考：《中國醫(yī)藥導(dǎo)報》2016年07期

【摘要】：目的探討地佐辛聯(lián)合羅哌卡因局部麻醉預(yù)處理對腹腔鏡下膽囊切除術(shù)(LC)男性患者蘇醒期躁動的影響。方法選擇2014年1~12月于江山市人民醫(yī)院擇期行LC的男性患者60例,隨機(jī)分為治療組和對照組,每組各30例。兩組麻醉誘導(dǎo)及維持方法相同,治療組在手術(shù)結(jié)束前20 min靜脈注射地佐辛0.1 mg/kg,手術(shù)結(jié)束后0.75%鹽酸羅哌卡因行切口局部浸潤麻醉,對照組不予處理。術(shù)后轉(zhuǎn)入麻醉恢復(fù)室。觀察兩組術(shù)后蘇醒時間、拔管時間;記錄術(shù)后蘇醒期躁動發(fā)生率和程度;記錄麻醉前(T_0)、拔管前(T_1)、拔管后5 min(T_2)、拔管后10 min(T_3)、拔管后30 min(T_4)、拔管后1 h(T_5)的收縮壓(SBP)、舒張壓(DBP)、心率(HR)、血氧飽和度(Sp O2);在拔管后30 min、1 h、4 h、12 h各時間點對患者進(jìn)行視覺模擬評分(VAS);并觀察患者導(dǎo)尿管不適程度及惡心嘔吐等不良反應(yīng)。結(jié)果與T_0比較,對照組在T_1、T_2、T_3、T_4、T_5時SBP、DBP、HR均升高(P0.05);治療組在T_1、T_2、T_3、T_4、T_5各時點的SBP、DBP、HR均低于對照組(P0.05);治療組清醒后導(dǎo)尿管無不適(0級)患者21例(70%),多于對照組的3例(10%)(P0.01);治療組在拔管后30 min、1 h、4 h VAS評分低于同時間點的對照組(P0.05或P0.01);治療組安靜無煩躁(0級)患者23例(76.67%),多于對照組的5例(16.67%)(P0.01)。結(jié)論地佐辛聯(lián)合羅哌卡因局部浸潤麻醉預(yù)處理能有效預(yù)防LC男性患者蘇醒期躁動,提高患者的舒適度,不延長蘇醒時間。
[Abstract]:Objective to investigate the effect of dizosin combined with ropivacaine local anaesthesia preconditioning on restlessness in patients with LC during laparoscopic cholecystectomy. Methods A total of 60 male patients with LC from January to December 2014 in Jiangshan people's Hospital were randomly divided into treatment group (n = 30) and control group (n = 30). The anesthesia induction and maintenance were the same in the two groups. In the treatment group, dizosin 0.1 mg / kg was injected intravenously 20 min before the end of operation, and 0.75% ropivacaine hydrochloride was used in the incision local infiltration anesthesia after the operation, but not in the control group. After operation, it was transferred to the anesthesia recovery room. The postoperative recovery time and extubation time were observed, and the incidence and degree of restlessness in postoperative recovery period were recorded. The systolic pressure (SBP), diastolic pressure (DBP), heart rate (HR), HRT (HRT), blood oxygen saturation (SPA) were recorded before anesthesia, before extubation, 5 min after extubation, 10 min after extubation, 30 min after extubation, 1 h after extubation and 12 h after extubation. The adverse reactions such as urinary catheter discomfort and nausea and vomiting were observed. The results were compared with T _ 0, In the control group, the number of SBPDBPHR increased at T _ 1 / T _ 3 / T _ T _ 5; in the treatment group, it was lower than that in the control group at T _ 1T _ 2 / T _ 3T _ 4 / T _ 5; in the treatment group, it was lower than that in the control group (P _ 0.05); in the treatment group, it was more than in the control group (P _ 0.01); in the treatment group, 30 min after extubation, the VAS was assessed at 1 min for 4 h. The scores were lower than those of the control group (P0.05 or P0.01g), the patients in the treatment group were quiet without irritability grade 0 (23 cases), and more than 5 cases in the control group (P 0.01). Conclusion Dizocin combined with ropivacaine local infiltration anesthesia preconditioning can effectively prevent restlessness and increase the comfort of LC male patients without prolonging the recovery time.
【作者單位】： 浙江省江山市人民醫(yī)院麻醉科;
【基金】：浙江省衢州市科技局指導(dǎo)性科技計劃項目(2015116)
【分類號】：R614

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 徐梅芳;;羅哌卡因在剖宮產(chǎn)麻醉中的應(yīng)用價值[J];中外醫(yī)學(xué)研究;2015年33期

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陸文漢;華東;;地佐辛在開胸手術(shù)后病人自控靜脈鎮(zhèn)痛中的臨床分析[J];中國冶金工業(yè)醫(yī)學(xué)雜志;2012年04期

2 胡劍平;李佩鉑;劉志慧;;地佐辛在圍術(shù)期的臨床應(yīng)用[J];中國社區(qū)醫(yī)師(醫(yī)學(xué)專業(yè));2012年22期

3 趙森;呂國義;孫成亮;鄧^，

本文編號：1993749