·腹部疾病·
地佐辛联合阿托品对全身麻醉苏醒期膀胱刺激性躁动的治疗效 果
作者:谭洪光 李经纬 郭 敏 姚爱军 方海腾
所属单位:广东省江门市台山市人民医院麻醉科 (广东 江门 529200)
PDF摘要
目的 探讨地佐辛联合阿托品对全身麻醉苏醒期膀胱刺激性躁动的治疗效果。方法 选取2014年6月-2016年6月我院 普外科的62例手术患者,按照手术顺序随机分为实验组和对照组,每组各31例。所有患者均通过气管插管全身麻 醉,在麻醉之后进行导尿。实验组患者在手术结束之前注射地佐辛和阿托品,对照组患者在手术结束之前给予生理 盐水,对比两组患者术后不良反应情况、膀胱刺激以及躁动情况。结果 实验组患者膀胱刺激率为12.90%,明显低 于对照组(48.39%),两组间差异显著,存在统计学意义(P<0.05)。实验组患者躁动率为3.23%,明显低于对照组 (19.35%),两组间差异显著,存在统计学意义(P<0.05)。实验组患者不良反应发生率为6.45%,明显低于对照组 (25.81%),两组间差异显著,存在统计学意义(P<0.05)。结论 地佐辛联合阿托品对全身麻醉苏醒期膀胱刺激性躁 动的治疗效果很好,有效地降低了膀胱刺激程度,还减少了躁动的发生,同时也减少了不良反应情况的发生,值得 推广应用。
Objective To investigate the effect of dezocine combined with atropine in anesthesia recovery period of bladder irritation agitation treatment. Methods 62 patients were selected from June 2014 -2016 in June in our hospital department of general surgery, according to the surgery were randomly divided into experimental group and control group, 31 cases in each group. All patients were treated by general anesthesia with tracheal intubation catheterization after anesthesia, patients in the experimental group. At the end of the operation before the injection of dezocine and atropine, control group were given saline at the end of surgery before, compared two groups of patients with postoperative adverse reactions, bladder stimulation and restlessness. Results The experimental group of patients with bladder stimulation rate was 12.90%, significantly lower than the control group (48.39%),the difference between the two groups was statistically significant (P<0.05).The patients in the experimental group the agitation rate was 3.23%,significantly lower than the control group (19.35%), significant difference between the two groups, the existence of Statistically significant (P<0.05).Experimental group of patients with adverse reactions occurred rate of 6.45%, significantly lower than the control group (25.81). Significant difference between the two groups, there is significant difference (P<0.05). Conclusion Dezocine combined with atropine on systemic anesthesia recovery period bladder stimulation restlessness in the therapeutic effect is very good, effectively reduces the bladder to stimulate the degree, but also reduce the incidence of agitation, but also reduce the occurrence of adverse reactions, it is worthy of popularization and application.
【关键词】地佐辛;阿托品;全身麻醉苏醒期;膀胱刺激性躁动;治疗效果
【中图分类号】R614;R971+.2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.06.017
前言
在全身麻醉和复苏期间,患者都不能进行自主的排 尿,就需要导尿,所以,留置导尿管是全麻患者一定 要进行的工作[1]。在全麻患者的苏醒期产生躁动的原 因主要是由于导尿管而引起的刺激以及术后疼痛等,如果没有及时处理或者处理不恰当时,就会导致患者 出现紧张、恐惧等不良情绪,还会引起患者生理、呼 吸以及循环功能紊乱,也会引起导尿管脱落,严重时 会导致患者出现脑血管意外以及高血压,大大增加了围术期的风险[2]。为了探讨地佐辛联合阿托品对全身 麻醉苏醒期膀胱刺激性躁动的治疗效果,本次研究选 取了我院普外科的62例手术患者作为研究对象,发现 治疗效果很好,报道如下文所示。
罕少疾病杂志
第23卷, 第 2 期
2019年11月
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