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时间:2017-12-07
《不同麻醉药物对全麻苏醒期患者躁动的影响》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、昆明医科大学学报2013,(12):87~89CN53—1221/RJournalofKunmingMedicalUniversity不同麻醉药物对全麻苏醒期患者躁动的影响马良,王忠慧(云南省肿瘤医院麻醉科,云南昆明650118)[摘要]目的探讨不同麻醉药物对全麻苏醒期躁动(EA)的影响.方法将134例术后出现EA的患者随机分为A组(42例)、B组(45例)和C组(47例),术后分别采用帕瑞昔布40mg、布托啡诺20txg/kg和曲马多1mg/kg,静脉注射.比较各组治疗后躁动的改善程度、VAS评分及R
2、amsay镇静评分等.结果治疗后,A组、B组患者EA的程度显著低于C组(P3、躁动[中图分类号]R614.2+4[文献标识码]A[文章编号]2095-610X(2013)12—0087—04EfectofDiferentAnestheticsonEmergenceAgitationafterGeneralAnesthesiaMALiang,WANGZhong-hui(Dept.ofAnesthesiology,YunnanProvincialTumorHospital,KunmingYunnan650118,China)[Abstract]ObjectiveToexploreth4、einfluenceofdifferentanestheticsonemergenceagitation(EA)aftergeneralanesthesia.Methods134EApatientsaftergeneralanesthesiawererandomlydividedintothreegroups.GroupA(=42),GroupB(n=45)andGroupC(=47)wasgivenintravenouslyparecoxib40mg,butorphanol20g/kgandtrama5、dol1mg/kg,respectively.Theimprovementofagitation,VASscoreandRamsayscorewerecomparedandanalyzedamongthegroups.ResultsAftertreatment,thedegreeofEAinGroupA,GroupBwassignificantlylowerthanthatinGroupC(P<0.05).VASscoreinallthecaseswasreduced。andRamsayscorewas6、increasedcomparedwiththatbeforetreatment(P<0.05).VASscoreinGroupCwassignificantlyhigherthanthatinGroupA,GroupB(P7、nGroupBwassignificantlyhigherthanthatinGroupA,GroupC(P<0.05).ConclusionsParecoxibissafeandeffe-ctiveforEAaftergeneralanesthesia,itcaneffectivelyimprovethedegreeofEA,increasepostoperativesedativeeffect,andshortenPACUstay.[Keywords]Parecoxib;Butorphanol;Tr8、amadol;Generalanesthesia;Emergenceagitation全麻苏醒期躁动(emergenceagitation,EA)是后躁动、降低应激反应已愈发引起临床医师的广泛指患者在全身麻醉术后苏醒过程中所出现的一种意重视.目前研究认为,年龄、精神病病史、术前用识与行为分离的精神状态,EA多发生在拔管后药、切口疼痛、呼吸与循环功能障碍等都与全麻苏345min,发生率约为22.5%t1.EA极易造成意醒期躁动的发生密切相关圈
3、躁动[中图分类号]R614.2+4[文献标识码]A[文章编号]2095-610X(2013)12—0087—04EfectofDiferentAnestheticsonEmergenceAgitationafterGeneralAnesthesiaMALiang,WANGZhong-hui(Dept.ofAnesthesiology,YunnanProvincialTumorHospital,KunmingYunnan650118,China)[Abstract]ObjectiveToexploreth
4、einfluenceofdifferentanestheticsonemergenceagitation(EA)aftergeneralanesthesia.Methods134EApatientsaftergeneralanesthesiawererandomlydividedintothreegroups.GroupA(=42),GroupB(n=45)andGroupC(=47)wasgivenintravenouslyparecoxib40mg,butorphanol20g/kgandtrama
5、dol1mg/kg,respectively.Theimprovementofagitation,VASscoreandRamsayscorewerecomparedandanalyzedamongthegroups.ResultsAftertreatment,thedegreeofEAinGroupA,GroupBwassignificantlylowerthanthatinGroupC(P<0.05).VASscoreinallthecaseswasreduced。andRamsayscorewas
6、increasedcomparedwiththatbeforetreatment(P<0.05).VASscoreinGroupCwassignificantlyhigherthanthatinGroupA,GroupB(P7、nGroupBwassignificantlyhigherthanthatinGroupA,GroupC(P<0.05).ConclusionsParecoxibissafeandeffe-ctiveforEAaftergeneralanesthesia,itcaneffectivelyimprovethedegreeofEA,increasepostoperativesedativeeffect,andshortenPACUstay.[Keywords]Parecoxib;Butorphanol;Tr8、amadol;Generalanesthesia;Emergenceagitation全麻苏醒期躁动(emergenceagitation,EA)是后躁动、降低应激反应已愈发引起临床医师的广泛指患者在全身麻醉术后苏醒过程中所出现的一种意重视.目前研究认为,年龄、精神病病史、术前用识与行为分离的精神状态,EA多发生在拔管后药、切口疼痛、呼吸与循环功能障碍等都与全麻苏345min,发生率约为22.5%t1.EA极易造成意醒期躁动的发生密切相关圈
7、nGroupBwassignificantlyhigherthanthatinGroupA,GroupC(P<0.05).ConclusionsParecoxibissafeandeffe-ctiveforEAaftergeneralanesthesia,itcaneffectivelyimprovethedegreeofEA,increasepostoperativesedativeeffect,andshortenPACUstay.[Keywords]Parecoxib;Butorphanol;Tr
8、amadol;Generalanesthesia;Emergenceagitation全麻苏醒期躁动(emergenceagitation,EA)是后躁动、降低应激反应已愈发引起临床医师的广泛指患者在全身麻醉术后苏醒过程中所出现的一种意重视.目前研究认为,年龄、精神病病史、术前用识与行为分离的精神状态,EA多发生在拔管后药、切口疼痛、呼吸与循环功能障碍等都与全麻苏345min,发生率约为22.5%t1.EA极易造成意醒期躁动的发生密切相关圈
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