地佐辛联合帕瑞昔布超前镇痛对关节置换患者术后躁动的影响
发布时间：2018-10-30 16:48
【摘要】：目的观察地佐辛联合帕瑞昔布超前镇痛对关节置换患者术后躁动的影响。方法选择关节置换患者159例,按照数字表法随机分为A、B、C组,每组53例。三组均进行常规全身麻醉,A组于麻醉诱导前给予帕瑞昔布钠40 mg静脉注射;B组于手术结束前30 min给予地佐辛0.1 mg/kg静脉注射;C组于麻醉诱导前给予帕瑞昔布钠40 mg静脉注射,并于手术结束前30 min给予地佐辛0.1 mg/kg静脉注射。记录并比较3组拔管(气管插管)时间,苏醒期RSS躁动评分,拔管即刻及拔管后10、30、60 min的Ramsay镇静评分。结果 A、B、C组拔管时间分别为(19.2±4.3)、(18.9±4.1)、(12.9±3.4)min,C组时间短于A、B组(P均0.05)。A组苏醒期RSS躁动评分为0、1、2、3分分别有36、12、5、0例,B组分别为38、19、6、0例,C组分别为46、7、0、0例;C组评分为0分的例数多于A、B组(P均0.05),2分的例数少于A、B组(P均0.05)。C组拔管后60 min的Ramsay镇静评分高于A、B组。结论地佐辛联合帕瑞昔布超前镇痛可以减少关节置换患者术后躁动的发生。
[Abstract]:Objective to observe the effect of preemptive analgesia combined with dizosin and paroxib on postoperative restlessness in joint replacement patients. Methods 159 cases of joint replacement were randomly divided into group A (B) C (n = 53) and group A (n = 53). All the three groups were given routine general anesthesia, group A was given 40 mg of paroxib sodium intravenously before anesthesia induction, group B was given dizoxin 0.1 mg/kg intravenously 30 min before the end of operation. Group C received paroxib sodium 40 mg intravenously before anesthesia induction and dizoxin 0.1 mg/kg 30 min before the end of operation. The time of extubation (tracheal intubation), RSS restlessness score during recovery, and Ramsay sedation score of immediate extubation and 10 ~ 30 ~ 60 min after extubation were recorded and compared. Results the time of extubation was (19.2 卤4.3), (18.9 卤4.1), (12.9 卤3.4) in group A (19.2 卤4.3), (, 18.9 卤4.1), (, 12.9 卤3.4) in group A and B, respectively (P < 0. 05). RSS restlessness score in group A (0 1) was significantly shorter than that in group B (P < 0. 05). The scores of 2 and 3 were 36-125U in group B, 38.19 cases in group B and 0 cases in group C, respectively, and in group C, there were 46 cases in group B and 0 cases in group C, respectively. The number of cases with 0 score in group C was more than that in group A B (P 0.05), and the number of cases with 2 scores was less than that in group A B (P 0.05). C), the Ramsay sedation score of group A was higher than that of group A B at 60 min after extubation. Conclusion preemptive analgesia combined with dizosin and paroxib can reduce postoperative restlessness in joint replacement patients.
【作者单位】： 新汶矿业集团中心医院;
【分类号】：R614
[Abstract]:Objective to observe the effect of preemptive analgesia combined with dizosin and paroxib on postoperative restlessness in joint replacement patients. Methods 159 cases of joint replacement were randomly divided into group A (B) C (n = 53) and group A (n = 53). All the three groups were given routine general anesthesia, group A was given 40 mg of paroxib sodium intravenously before anesthesia induction, group B was given dizoxin 0.1 mg/kg intravenously 30 min before the end of operation. Group C received paroxib sodium 40 mg intravenously before anesthesia induction and dizoxin 0.1 mg/kg 30 min before the end of operation. The time of extubation (tracheal intubation), RSS restlessness score during recovery, and Ramsay sedation score of immediate extubation and 10 ~ 30 ~ 60 min after extubation were recorded and compared. Results the time of extubation was (19.2 卤4.3), (18.9 卤4.1), (12.9 卤3.4) in group A (19.2 卤4.3), (, 18.9 卤4.1), (, 12.9 卤3.4) in group A and B, respectively (P < 0. 05). RSS restlessness score in group A (0 1) was significantly shorter than that in group B (P < 0. 05). The scores of 2 and 3 were 36-125U in group B, 38.19 cases in group B and 0 cases in group C, respectively, and in group C, there were 46 cases in group B and 0 cases in group C, respectively. The number of cases with 0 score in group C was more than that in group A B (P 0.05), and the number of cases with 2 scores was less than that in group A B (P 0.05). C), the Ramsay sedation score of group A was higher than that of group A B at 60 min after extubation. Conclusion preemptive analgesia combined with dizosin and paroxib can reduce postoperative restlessness in joint replacement patients.
【作者单位】： 新汶矿业集团中心医院;
【分类号】：R614
【参考文献】
相关期刊论文 前8条
1 兰飞;王天龙;;老年患者髋关节置换术后镇痛的现状及思考[J];北京医学;2010年08期
2 朱燕;郑明峰;朱幸l，
本文编号：2300586
本文链接：https://www.wllwen.com/yixuelunwen/mazuiyixuelunwen/2300586.html
最近更新
教材专著
