盐酸戊乙奎醚对老年臂丛麻醉患者心血管不良反应的影响探讨

发布时间：2018-01-30 19:23

本文关键词： 盐酸戊乙奎醚老年臂丛麻醉患者心血管不良反应影响　出处：《中西医结合心血管病电子杂志》2016年17期 　论文类型：期刊论文

【摘要】：目的探讨盐酸戊乙奎醚对老年臂丛麻醉患者心血管不良反应的影响。方法选取2015年3月~2016年3月我院收治的老年臂丛麻醉患者62例,随机分为对照组与实验组,各31例,对照组患者在麻醉前均给予0.9%氯化钠注射液治疗,实验组患者均给予盐酸戊乙奎醚注射液治疗,均采用静脉滴注,对两组患者麻醉前后的心血管不良反应进行对比分析。结果麻醉前,两组患者的心率(HR)、舒张压(DBP)、收缩压(SBP)水平,差异无统计学意义(P0.05)。对照组麻醉后1 min、5 min、10 min的HR、DBP、SBP水平均明显高于麻醉前,差异有统计学意义(P0.05)。实验组麻醉后1 min、5 min、10 min的HR、DBP、SBP水平与麻醉前比较,差异无统计学意义(P0.05)。麻醉后1 min、5 min、10 min,实验组患者的HR、DBP、SBP水平均明显低于对照组,差异有统计学意义(P0.05)。结论老年臂丛麻醉患者采用盐酸戊乙奎醚治疗,可以减少心血管不良反应的发生率,能够显著改善患者的预后情况,具有较好的疗效,值得临床推广应用。
[Abstract]:Objective to investigate the effect of pentehyclidine hydrochloride on cardiovascular adverse reactions in elderly patients undergoing brachial plexus anesthesia. Methods 62 cases of senile brachial plexus anesthesia were selected from March 2015 to March 2016. The patients in the control group were treated with 0.9% sodium chloride injection before anesthesia, and the patients in the experimental group were treated with penehyclidine hydrochloride injection and intravenous drip. Results before and after anesthesia, the heart rate (HR), diastolic blood pressure (DBP), systolic blood pressure (SBP) levels were compared between the two groups. There was no significant difference between the two groups (P 0.05). The levels of DBP SBP in the control group were significantly higher than those before anesthesia at 5 min and 10 min after anesthesia. The difference was statistically significant (P 0.05). The levels of DBP SBP in the experimental group were compared with those before anesthesia at 5 min and 10 min after anesthesia. There was no significant difference (P 0.05). The levels of HRD DBP SBP in the experimental group were significantly lower than those in the control group at 5 min and 10 min after anesthesia. Conclusion the treatment of penehyclidine hydrochloride in elderly patients with brachial plexus anesthesia can reduce the incidence of adverse cardiovascular reactions and significantly improve the prognosis of patients with brachial plexus anesthesia. It has good curative effect and is worth popularizing in clinic.
【作者单位】：青岛海慈医疗集团麻醉科;
【分类号】：R614.4
【正文快照】： 由于老年患者进行臂丛麻醉的时候,臂丛肌间沟阻滞会对颈动脉窦与迷走神经产生一定的抑制作用,会明显促使交感神经出现兴奋状态,继而会出现心律加快、血压升高等不良反应,这些不良反应会对患者的手术效果造成较大的影响[1]。通过研究表明,在老年臂丛麻醉患者中采用盐酸戊乙奎醚

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