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ID:33773317
大小:2.59 MB
页数:29页
时间:2019-03-01
《右美托咪定对小儿罗哌卡因骶管阻滞效应的影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、青岛大学硕士学位论文右美托咪定对小儿罗哌卡因骶管阻滞效应的影响姓名:范文杰申请学位级别:硕士专业:麻醉学指导教师:王士雷20120602右美托咪定对小儿罗哌卡因骶管阻滞效应的影响摘要目的研究右美托咪定对,J、Jh骶管阻滞效应的影响。方法选择60例I-6岁(ASAI)拟行腹股沟斜疝或鞘膜积液手术的患儿,随机分为两组(n=30):R组骶管注入0.25%罗哌卡因Iml/kg;RD组骶管注入0.2505罗哌卡因Iml/kg+右美托眯定1pg/kg。监测术中心率(HR)、呼吸(RR)、血压(BP)和脉搏氧饱和度(Sp02),记录骶管阻滞起效时间:患儿苏醒时间;镇痛药应用时间,
2、采用Ramsay评分判定患儿苏醒和躁动,用FLACC量表评估患儿术后疼痛。结果两组患儿月龄、体重、手术时间,阻滞起效时间无显著差异。与R组比较RD组苏醒时间延长,苏醒后躁动减少,镇痛药应用减少,镇痛时间延长(P3、stigatetheinfluenceofdexmedetomidineOilthecaudalblockwithropivacaineinchildren.Methods60patientssufferingfromindirectinguinalherniaorhydroceleoftunicavaginalisand耀埘i-6yearswereenrolledinourstudy.Theyweredividedintotwogroupsrandomlytoreceive0.25%ropivacainetmg/kg(groupR)and0.25%ropivaca4、inelmg/kganddexmedetomidine1pg/kg(groupRD).Theintra-operativeheartrate()m),respiratoryrate(RR),tidalvolume(TV3,bloodpressure(Bp)andsp02werenormallymonitored.Thetimeoftheonsetofcaudalblock,therecoveryofconsciousnessandtheadministrationofanalgesicswererecorded.WeselecttheRamsayscoretoest5、imatetherecoveryfromaaesthesiaandpost-operativeagitationandtheFLACCPainAssessmentTooltoassesspost-operativepain.Resultsage,weight,durationofoperationandtheonsetofcaudalblockwerecomparableO加.05).CroupRDdisplayedrecoverytimeWG奠'eincr哪吐post-operativeagitationandtheoveralldoseofanalgesicso6、fgroupRDwerereducedincomparisonwithgroup心whilegroupRDdisplayedamarkedlyprolongedantalgicduration(p<0.05).ConclusionsDexmedetomidine(1pg/kg)锄enhancetheeffectofropivacaineforthecaudalblockinchildren.Postgraduatestudent:Wen-JieFan(Anesthesiology)DirectedbyProf.Shi-LeiWangKeywords:Dexmedct7、omidine;ropivacaine;childremcaudal引言引言1995年JCAnO(全美保健机构评审联合委员会,JointCommissiononAccreditationofHealthcareOrganizations)将疼痛正式确定为继呼吸、体温、脉搏、血压之后的第五生命体征。IASP(国际疼痛研究学会,InternationalAssociationfortheStudyofPain)对疼痛的定义是:“一种与实际或潜在的组织损伤相关联的不愉快的主观感觉和情感体验一。IASP把急性疼痛和慢性疼痛的控制作为全球工作的重点,并且将控制疼痛作为公共
3、stigatetheinfluenceofdexmedetomidineOilthecaudalblockwithropivacaineinchildren.Methods60patientssufferingfromindirectinguinalherniaorhydroceleoftunicavaginalisand耀埘i-6yearswereenrolledinourstudy.Theyweredividedintotwogroupsrandomlytoreceive0.25%ropivacainetmg/kg(groupR)and0.25%ropivaca
4、inelmg/kganddexmedetomidine1pg/kg(groupRD).Theintra-operativeheartrate()m),respiratoryrate(RR),tidalvolume(TV3,bloodpressure(Bp)andsp02werenormallymonitored.Thetimeoftheonsetofcaudalblock,therecoveryofconsciousnessandtheadministrationofanalgesicswererecorded.WeselecttheRamsayscoretoest
5、imatetherecoveryfromaaesthesiaandpost-operativeagitationandtheFLACCPainAssessmentTooltoassesspost-operativepain.Resultsage,weight,durationofoperationandtheonsetofcaudalblockwerecomparableO加.05).CroupRDdisplayedrecoverytimeWG奠'eincr哪吐post-operativeagitationandtheoveralldoseofanalgesicso
6、fgroupRDwerereducedincomparisonwithgroup心whilegroupRDdisplayedamarkedlyprolongedantalgicduration(p<0.05).ConclusionsDexmedetomidine(1pg/kg)锄enhancetheeffectofropivacaineforthecaudalblockinchildren.Postgraduatestudent:Wen-JieFan(Anesthesiology)DirectedbyProf.Shi-LeiWangKeywords:Dexmedct
7、omidine;ropivacaine;childremcaudal引言引言1995年JCAnO(全美保健机构评审联合委员会,JointCommissiononAccreditationofHealthcareOrganizations)将疼痛正式确定为继呼吸、体温、脉搏、血压之后的第五生命体征。IASP(国际疼痛研究学会,InternationalAssociationfortheStudyofPain)对疼痛的定义是:“一种与实际或潜在的组织损伤相关联的不愉快的主观感觉和情感体验一。IASP把急性疼痛和慢性疼痛的控制作为全球工作的重点,并且将控制疼痛作为公共
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