摘要
目的比较麻醉诱导时前臂静脉和足背静脉芬太尼静注后呛咳反应的发生率及强度。方法 ASAⅠ的择期手术患者40例,随机均分为两组:前臂静脉组(Ⅰ组)、足背静脉组(Ⅱ组),两组静脉注射芬太尼的剂量均为3μg/kg,用药速度均为2s内推入,Ⅰ组于前臂静脉给予芬太尼,Ⅱ组于足背静脉给予芬太尼,记录麻醉前(T0)、芬太尼注射前(T1)及后0.5min(T2)、1min(即插管前,T3)、插管后1min(T4)和2min(T5)时的心率、收缩压及呛咳情况。结果Ⅰ组芬太尼推注后患者呛咳的发生率及强度显著大于Ⅱ组。结论麻醉诱导期间芬太尼(3μg/kg,2s内)足背静脉注射较前臂静脉注射能减少芬太尼给药后其呛咳反应的发生率及强度。
Objective To compare the incidence and severity of FIC caused by injecting fentanyl through a vein in the forearm with through dorsal vein of foot. Methods Forty patients of ASA I, aged 18-55 year and weighing 47-78kg, undergoing elective surgical procedures were randomly allocated into two groups consisting of 20 patients. Both groups received i.v. fentanyl （3.0mg/kg） within 2 seconds. Group I received fentanyl through a vein in the forearm, whereas groupⅡreceived fentanyl through dorsal vein of foot. The in cidence of cough was recorded for 1 min before the induction of anaesthesia, and graded as none （0 cough） , mild （ 1- 2 cough） , moderate （3 - 4 cough） and severe（ I〉5 cough）. Results The incidence of cough was 55% in group I and 5% in group Ⅱ （P 〈 0.05）. The se verity of cough in group I was more than the severity in group Ⅱ. Conclusion Comparing with injecting fentanyl through vein of fore arm, injecting fentanyl （3.0mg/kg） through dorsal vein of foot significantly reduces the incidence and severity of FIC in majority of the patients.
出处
《医学研究杂志》
2012年第5期124-126,共3页
Journal of Medical Research
关键词
芬太尼
呛咳反应
前臂静脉
足背静脉
Fentanyl
Fentanyl - induced cough
Forearm vein
Ddorsal vein of foot
