麻醉前静注地佐辛的全麻肛周手术患者术后24 h术区疼痛观察

发布时间：2018-09-11 18:06

【摘要】：目的观察麻醉前静注地佐辛的全麻肛周手术患者术后24 h术区疼痛情况。方法 80例肛周疾病患者,随机分为观察组和对照组各40例,两组均行全身麻醉下肛周手术,麻醉前观察组予地佐辛0.1 mg/kg,对照组予5 mL生理盐水静脉注射。根据语言评价表(VRS)判断术后24 h两组术区疼痛情况,记录两组麻醉前5 min(T_1)、手术开始后5 min(T_2)、手术开始后15 min(T_3)的心率(HR)、平均动脉血压(MAP)、血氧饱和度(SpO_2),观察两组术中呼吸抑制程度,记录两组手术时间、丙泊酚追加量及术后患者苏醒时间。结果术后24 h观察组和对照组VRS疼痛评分分别为(50.2±10.1)、(69.3±10.3)分,二者比较,P0.05。观察组T_2时HR、SpO_2低于对照组,MAP高于对照组(P均0.05)。观察组术中无呼吸抑制、轻度呼吸抑制、中度呼吸抑制、重度呼吸抑制例数分别为15、19、6、0例,对照组分别为17、21、2、0例,二者比较,P0.05。观察组丙泊酚追加量低于对照组(P0.05)。结论麻醉前静注地佐辛的全麻肛周手术患者术后24 h术区镇痛效果较好。
[Abstract]:Objective to observe the pain in perianal operation after general anesthesia 24 hours before anesthesia. Methods 80 patients with perianal diseases were randomly divided into observation group (n = 40) and control group (n = 40). The pain in the two groups was judged 24 hours after operation by (VRS). The mean arterial blood pressure (MAP),) of (HR), at 15 min (T3) and 5 min (T1) before anesthesia, 5 min (T _ 2) after operation and 15 min (T _ 3) after operation were recorded in the two groups. The degree of respiratory inhibition was observed in both groups. The time of operation, supplementary dose of propofol and recovery time of postoperative patients were recorded. Results the VRS pain score of the observation group and the control group was (50.2 卤10.1), (69.3 卤10.3) at 24 hours after operation, which was compared with that of the control group (P 0.05). The HR,SpO_2 in the observation group was lower than that in the control group at T _ 2 and map was higher than that in the control group (P < 0. 05). There were no respiratory inhibition, mild respiratory inhibition, moderate respiratory inhibition and severe respiratory inhibition in the observation group (n = 60), and in the control group (n = 17) (P 0.05). The supplementary dose of propofol in the observation group was lower than that in the control group (P0.05). Conclusion the analgesic effect of perianal operation under general anesthesia is better than that of dizosin before anesthesia 24 hours after operation.
【作者单位】：河南中医药大学第一附属医院;
【分类号】：R614

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