更年期女性交通事故伤致颅内出血手术麻醉处理体会

发布时间：2018-04-13 01:08

  本文选题：麻醉 + 更年期女性　； 参考：《临床医药文献电子杂志》2016年21期

【摘要】：目的观察更年期女性交通事故伤致颅内出血治疗中应用罗哌卡因的疗效。方法选取2010年3月~2016年1月我院收治的拟行更年期女性交通事故伤致颅内出血手术治疗且采用硬膜外麻醉者27例作为研究对象,按照随机数字表法分组为对照组14例与观察组13例。统计两组患者术后自主呼吸恢复时间、意识恢复时间、术后心率、拔管时间、平均动脉压及脉搏氧饱和度,统计两组患者术后1、2、4、6 h疼痛情况,观察两组药物不良反应等。结果两组患者术后自主呼吸恢复时间、意识恢复时间、术后心率、拔管时间、平均动脉压及脉搏氧饱和度比较,差异无统计学意义(P0.05);观察组患者于术后1、2、4、6 h VAS评分明显低于对照组,差异有统计学意义(P0.05)。结论应用0.2%罗哌卡因具有较好麻醉及镇痛疗效。
[Abstract]:Objective to observe the effect of ropivacaine in the treatment of intracranial hemorrhage caused by traffic accident in climacteric women.Methods from March 2010 to January 2016, 27 patients with intracranial hemorrhage due to menopausal traffic accident were treated with epidural anesthesia.According to random digital table method, 14 cases in control group and 13 cases in observation group were divided into two groups.The time of spontaneous respiration recovery, recovery of consciousness, heart rate, extubation time, mean arterial pressure and pulse oxygen saturation were counted.Results the time of spontaneous respiration recovery, consciousness recovery, heart rate, extubation time, mean arterial pressure and pulse oxygen saturation were compared between the two groups.The VAS score of the patients in the observation group was significantly lower than that in the control group at 1: 2 and 4 hours after operation, and the difference was statistically significant (P 0.05).Conclusion 0.2% ropivacaine is effective in anaesthesia and analgesia.
【作者单位】： 黑龙江省牡丹江市第二人民医院麻醉科;
【分类号】：R614.42
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本文编号：1742236