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湖北省宜都市第一人民医院麻醉科
纸质出版日期:2015,
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[1]刘迎春,杨捷.地佐辛预防腹腔镜胆囊切除术患者全麻拔管期躁动的效果观察[J].保健医学研究与实践,2015,12(06):50-52.
Liu Ying-chun, Yang Jie. The Effect of Dezocine on the Prevention of General Anesthesia Extubation Agitation of Laparoscopic Cholecystectomy[J]. Health Medicine Research and Practice, 2015,12(6):50-52.
目的探讨地佐辛预防腹腔镜胆囊切除术患者全麻拔管期躁动的临床效果。方法选取湖北省宜都市某医院2012年8月-2014年8月收治的40例全麻腹腔镜胆囊切除术患者作为研究对象
随机分为A组(22例)与B组(18例)。2组患者的手术、麻醉形式相同
A组患者于手术结束前15min给予地佐辛静注
B组患者未给予特殊处理
比较2组患者诱导前(T0)、拔管时(T1)、拔管后10min(T2)时心率(HR)、平均动脉压(MAP)的变化情况以及麻醉后疼痛、镇静、躁动评分情况
并观察麻醉后2组患者的不良反应发生情况。结果2组患者麻醉后疼痛评分
组间比较差异无统计学意义;A组患者躁动评分为0.84±0.26
低于B组(1.27±0.52)
组间比较差异有统计学意义(P<0.05);A组患者镇静得分为2.14±0.54
高于B组(0.74±0.21)
组间比较差异有统计学意义(P<0.05)。2组患者T0时的HR及MAP比较
差异无统计学意义;A组患者T1
T2时的HR及MAP均低于B组
组间比较差异有统计学意义(P<0.05);A组患者出现恶心1例、呕吐1例
不良反应发生率为9.09%
B组患者出现恶心1例
便秘1例
不良反应发生率为11.11%
2组患者不良反应发生率比较
差异无统计学意义。结论地佐辛可缓解全麻腹腔镜胆囊切除术患者可缓解拔管期躁动
并有较好的镇静效果
具有较高的临床应用价值。
Objective To investigate the clinical effect of Dezocine on the prevention of general anesthesia extubation agitation of laparoscopic cholecystectomy.Methods 40 cases of patients received in a hospital of Yidu city from August 2012 to August 2014 who had laparoscopic cholecystectomy with general anesthesia were randomly divided into Group A(22cases)and Group B(18cases).Patients in both groups had the same surgery and anesthesia
but patients of Group A were injected Dezocine intravenously 15 minutes before the end of their operation and patients of Group B were not.Two groups were compared changes of their heart rate(HR)and mean arterial pressure(MAP)before inducement(T0)
extubation(T1)and 10 minutes after extubation(T2)and the scores of pain
sedation and agitation after anesthesia
and patients in both groups were observed their adverse reactions after anesthesia.Results For pain scores after anesthesia
the difference between the two groups was not statistically significant;the agitation score of Group A was 0.84±0.26
lower than Group B(1.27±0.52)
and there was statistically significant difference between the two groups(P<0.05);the sedation score of Group A was 2.14±0.54
higher than Group B(0.74±0.21)and the difference was statistically significant(P<0.05).The differences between the two groups in MAP and HR of T0 were not statistically significant;MAP and HR of T1 and T2in Group A were lower than Group B and the differences were statistically significant(P<0.05);there was one case of nausea and one case of vomiting in Group A
and the incidence of adverse reactions was 9.09%
there was one case of nausea and one case of constipation in Group B
and the incidence of adverse reactions was 11.11%
and the difference in the incidence of adverse reactions was not statistically significant.Conclusion Dezocine can relieve extubation agitation of laparoscopic cholecystectomy with general anesthesia with a good sedative effect and it has high clinical value.
地佐辛腹腔镜胆囊切除术全麻拔管期躁动
DezocineLaparoscopic cholecystectomyGeneral anesthesia extubationAgitation
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