【摘要】：目的觀察地佐辛聯(lián)合帕瑞昔布超前鎮(zhèn)痛對(duì)關(guān)節(jié)置換患者術(shù)后躁動(dòng)的影響。方法選擇關(guān)節(jié)置換患者159例,按照數(shù)字表法隨機(jī)分為A、B、C組,每組53例。三組均進(jìn)行常規(guī)全身麻醉,A組于麻醉誘導(dǎo)前給予帕瑞昔布鈉40 mg靜脈注射;B組于手術(shù)結(jié)束前30 min給予地佐辛0.1 mg/kg靜脈注射;C組于麻醉誘導(dǎo)前給予帕瑞昔布鈉40 mg靜脈注射,并于手術(shù)結(jié)束前30 min給予地佐辛0.1 mg/kg靜脈注射。記錄并比較3組拔管(氣管插管)時(shí)間,蘇醒期RSS躁動(dòng)評(píng)分,拔管即刻及拔管后10、30、60 min的Ramsay鎮(zhèn)靜評(píng)分。結(jié)果 A、B、C組拔管時(shí)間分別為(19.2±4.3)、(18.9±4.1)、(12.9±3.4)min,C組時(shí)間短于A、B組(P均0.05)。A組蘇醒期RSS躁動(dòng)評(píng)分為0、1、2、3分分別有36、12、5、0例,B組分別為38、19、6、0例,C組分別為46、7、0、0例;C組評(píng)分為0分的例數(shù)多于A、B組(P均0.05),2分的例數(shù)少于A、B組(P均0.05)。C組拔管后60 min的Ramsay鎮(zhèn)靜評(píng)分高于A、B組。結(jié)論地佐辛聯(lián)合帕瑞昔布超前鎮(zhèn)痛可以減少關(guān)節(jié)置換患者術(shù)后躁動(dòng)的發(fā)生。
[Abstract]:Objective to observe the effect of preemptive analgesia combined with dizosin and paroxib on postoperative restlessness in joint replacement patients. Methods 159 cases of joint replacement were randomly divided into group A (B) C (n = 53) and group A (n = 53). All the three groups were given routine general anesthesia, group A was given 40 mg of paroxib sodium intravenously before anesthesia induction, group B was given dizoxin 0.1 mg/kg intravenously 30 min before the end of operation. Group C received paroxib sodium 40 mg intravenously before anesthesia induction and dizoxin 0.1 mg/kg 30 min before the end of operation. The time of extubation (tracheal intubation), RSS restlessness score during recovery, and Ramsay sedation score of immediate extubation and 10 ~ 30 ~ 60 min after extubation were recorded and compared. Results the time of extubation was (19.2 鹵4.3), (18.9 鹵4.1), (12.9 鹵3.4) in group A (19.2 鹵4.3), (, 18.9 鹵4.1), (, 12.9 鹵3.4) in group A and B, respectively (P < 0. 05). RSS restlessness score in group A (0 1) was significantly shorter than that in group B (P < 0. 05). The scores of 2 and 3 were 36-125U in group B, 38.19 cases in group B and 0 cases in group C, respectively, and in group C, there were 46 cases in group B and 0 cases in group C, respectively. The number of cases with 0 score in group C was more than that in group A B (P 0.05), and the number of cases with 2 scores was less than that in group A B (P 0.05). C), the Ramsay sedation score of group A was higher than that of group A B at 60 min after extubation. Conclusion preemptive analgesia combined with dizosin and paroxib can reduce postoperative restlessness in joint replacement patients.
【作者單位】： 新汶礦業(yè)集團(tuán)中心醫(yī)院;
【分類(lèi)號(hào)】：R614

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 蘭飛;王天龍;;老年患者髖關(guān)節(jié)置換術(shù)后鎮(zhèn)痛的現(xiàn)狀及思考[J];北京醫(yī)學(xué);2010年08期

2 朱燕;鄭明峰;朱幸l，

本文編號(hào)：2300586