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《二种局麻方法对老年高血压患者种植手术心率和血压的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国煤炭工业医学杂志2014年1月第17卷第1期ChineseJournalofCoalIndustryMedicine,Jan.2014,Vo1.17,No.1’·43·二种局麻方法对老年高血压患者种植手术心率和血压的影响谭荣刘剑胡冬梅胡坤娥摘要目的评价二种局麻方法对老年高血压患者种植手术心率和血压的影响,以指导临床的安全使用。方法选择98例血压控制在160/100mmHg以下的高血压患者,分为对照组和观察组,分别用2利多卡因神经阻滞麻醉,复方盐酸阿替卡因局部浸润麻醉,观察二组的麻醉显效时间和注射前、注射后即刻以及注射后5min、
2、开始手术和手术后5min、手术结束后5min患者的血压及心率的变化。结果二种麻醉药对血压和心率的影响差异无统计学意义(尸>0.05),二组病例在种植手术前,手术中和手术完成后的收缩压和舒张压均表现为先升高后下降,注射即刻与注射前、注射后5min、手术结束后5min的血压变化及心率变化差异均有统计学意义,手术开始与注射前、注射后5min、手术结束后5min的血压变化及心率变化差异也均有统计学意义(P<0.05),而麻醉显效时间阿替卡因组优于利多卡因组(P3、次/min的高血压患者,使用复方阿替卡因注射液局部浸润麻醉对心率和血压无显著影响。关键词复方盐酸阿替卡因;种植;高血压;利多卡因;老年人中图分类号R614.3文献标识码B文章编号1007—9564(2014)01—0043—03D0I编码10.11723/mtgyyx1007—9564201401016EFFECI’OFTW0DⅡERENTINnIRA1酬ANAErHETICSONBLo0DPRESSUREANDHEARTRATEINELDERLYPATIENTSWITHHYPERTENTIONINIMPLANTSURGERYTan4、Rong,LiuJian,HuDongmei,eta1.Departmentofstomatology,ChinaCoalGeneralHospital,Beijing100028,ChinaAbstract0bjectiveToevaluatetheanestheticeffectandinfluenceoncardiovascularsystemofartic—aineandlidocaineinelderlypatientswithhypertentioninimplantsurgery.MethodsAtotalof98el5、d—erlypatientswithhypertentionwererandomlydividedintoarticainegroupandlidocainegroup.Bloodpressureandheartratewereobservedbeforeand0minute,5minutesafterthedrugsadministrationand5minutesbeforetheoperationand0minuteand5minutesaftertheoperation,and5minutesaftertheendofthe6、operation.ResultsNosignificantchangesofpulseandbloodpressurewerefoundbe—tweenthetwogroups,butthetwoparametersineachgroupexhibitedstatisticallysignificantdiffer—encesatdifferentevaluationtimes(P<0.05).ConclusionArticaineiSanefficientandsafedentaIan—esthesiadruginimplant7、surgeryinelderlypatientswithhypertention.KeywordsArticainehydrochloride;Lidocaine;Implant;Hypertention;Elderly作者单位:100028北京市,煤炭总医院口腔科*通讯作者[4]刘长云.宫颈癌及癌前病变68例相关因素分析对宫颈细胞学诊断为ASC—H的分流作用I-J].全[J].中国妇幼保健,2011,26(34):5315—5316科医学临床与教育,2009,7(2):102—105[5]ZhuJ,NormanI,ElfgrenK8、,eta1.Acomparisonof[7]蔡兰兰,李振雪,樊冰.人乳头瘤病毒检测在宫颈疾liquid——basedcytologyandPapsmearasascreen—病中的诊断价值I-J].检验医学与临床,2010,7ingm
3、次/min的高血压患者,使用复方阿替卡因注射液局部浸润麻醉对心率和血压无显著影响。关键词复方盐酸阿替卡因;种植;高血压;利多卡因;老年人中图分类号R614.3文献标识码B文章编号1007—9564(2014)01—0043—03D0I编码10.11723/mtgyyx1007—9564201401016EFFECI’OFTW0DⅡERENTINnIRA1酬ANAErHETICSONBLo0DPRESSUREANDHEARTRATEINELDERLYPATIENTSWITHHYPERTENTIONINIMPLANTSURGERYTan
4、Rong,LiuJian,HuDongmei,eta1.Departmentofstomatology,ChinaCoalGeneralHospital,Beijing100028,ChinaAbstract0bjectiveToevaluatetheanestheticeffectandinfluenceoncardiovascularsystemofartic—aineandlidocaineinelderlypatientswithhypertentioninimplantsurgery.MethodsAtotalof98el
5、d—erlypatientswithhypertentionwererandomlydividedintoarticainegroupandlidocainegroup.Bloodpressureandheartratewereobservedbeforeand0minute,5minutesafterthedrugsadministrationand5minutesbeforetheoperationand0minuteand5minutesaftertheoperation,and5minutesaftertheendofthe
6、operation.ResultsNosignificantchangesofpulseandbloodpressurewerefoundbe—tweenthetwogroups,butthetwoparametersineachgroupexhibitedstatisticallysignificantdiffer—encesatdifferentevaluationtimes(P<0.05).ConclusionArticaineiSanefficientandsafedentaIan—esthesiadruginimplant
7、surgeryinelderlypatientswithhypertention.KeywordsArticainehydrochloride;Lidocaine;Implant;Hypertention;Elderly作者单位:100028北京市,煤炭总医院口腔科*通讯作者[4]刘长云.宫颈癌及癌前病变68例相关因素分析对宫颈细胞学诊断为ASC—H的分流作用I-J].全[J].中国妇幼保健,2011,26(34):5315—5316科医学临床与教育,2009,7(2):102—105[5]ZhuJ,NormanI,ElfgrenK
8、,eta1.Acomparisonof[7]蔡兰兰,李振雪,樊冰.人乳头瘤病毒检测在宫颈疾liquid——basedcytologyandPapsmearasascreen—病中的诊断价值I-J].检验医学与临床,2010,7ingm
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