地佐辛结合表面麻醉对气管插管患者血流动力学的影响

发布时间：2018-04-29 06:10

本文选题：地佐辛 + 表面麻醉　；参考：《现代生物医学进展》2016年23期

【摘要】：目的:探讨地佐辛结合表面麻醉对气管插管患者血流动力学的影响。方法:选取2013年4月-2015年7月在我院接受治疗的急诊饱胃清醒患者80例,依据麻醉方法不同,将患者分为研究组和对照组,每组40例。对照组患者采用生理盐水结合表面麻醉,研究组患者采用地佐辛结合表面麻醉。观察并比较两组患者不同时间点血流动力学的变化情况。结果:T1时,两组患者HR、MAP比较,差异无统计学意义(P0.05);T2、T3、T4时,研究组患者HR、MAP均显著低于对照组,差异具有统计学意义(P0.05);研究组患者气管插管诱导时间显著短于对照组,差异具有统计学意义(P0.05);T2、T3时,研究组患者体动评分显著低于对照组,差异具有统计学意义(P0.05);研究组患者不良反应发生率显著低于对照组,差异具有统计学意义(P0.05)。结论:地佐辛结合表面麻醉对气管插管患者的血流动力学影响较小,麻醉应激反应较轻微,值得临床推广应用。
[Abstract]:Objective: to investigate the effect of dizosin combined with surface anesthesia on hemodynamics in patients with tracheal intubation. Methods: 80 patients who were treated in our hospital from April 2013 to July 2015 were divided into study group and control group with 40 cases in each group according to different anesthetic methods. The patients in the control group were treated with normal saline combined with surface anesthesia, and the patients in the study group were treated with dizosin combined with surface anesthesia. The hemodynamic changes at different time points were observed and compared between the two groups. Results at 1: T1, there was no significant difference in HRMAP between the two groups. The HRMAP in the study group was significantly lower than that in the control group (P 0.05), and the induction time of tracheal intubation in the study group was significantly shorter than that in the control group. When the difference was statistically significant, the score of body motion in the study group was significantly lower than that in the control group (P 0.05), and the incidence of adverse reactions in the study group was significantly lower than that in the control group (P 0.05). Conclusion: dizosin combined with topical anesthesia has little effect on hemodynamics and mild stress response in patients with tracheal intubation.
【作者单位】：辽宁中医药大学附属第四医院麻醉科;辽宁中医药大学附属第四医院外科;
【基金】：辽宁省科技厅计划项目(2013226012)
【分类号】：R614

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