摘要
目的观察阿托品预联合罗派卡因预处理对肛周疾病手术迷走反射的预防作用。方法选择ASAI-II级肛周疾病手术病人360例,随机分成两组,阿托品预处理组(阿托品组)和对照组,每组180例。患者均采用骶管麻醉,穿刺选择骶管裂孔,常规监测心率、血压、心电图、血氧饱和度及呼吸。阿托品组在行骶管阻滞前常规给予阿托品0.5mg,手术结束后罗派卡因局麻。两组麻醉过程中当心率低于60次/分时静脉给予阿托品0.5mg,当血压下降20%时静脉给予麻黄素10mg。观察两组病人麻醉中血流动力学的变化及阿托品和麻黄素用量。结果阿托品组手术患者心率血压均较稳定,无明显的迷走神经反射,阿托品和麻黄素用量均减少,与对照组比较P<0.05,有显著性差异。结论阿托品联合罗派卡因预处理能减少肛周疾病手术中、术后迷走神经反射,维持循环稳定,保障患者安全。
Objective To observe the atropine in crissum diseases of the joint ROM sent because pretreatment on the operation of vagal re-flex .Methods Select ASAI-class II crissum diseases surgery patient 360 cases ,randomly divided into two groups ,group atropine pretreatment (atropine group) and control group ,180 cases in each group .Patients with sacral canal anesthesia ,piercing choose the sacral hiatus ,regular moni-toring of heart rate ,blood pressure ,electrocardiogram ,blood oxygen saturation and respiratory .Atropine group in the sacral canal blocking before regular given atropine 0.5 mg ,after the surgery ,sent because local anesthesia .In the process of the two groups of anesthesia when the heart rate is less than 60 times/minute intravenous atropine for a 0.5 mg ,when a 20% drop in blood pressure vein to give 10 mg of ephedrine .Observe two groups of patients during anesthesia with hemodynamic changes and atropine and ephedrine the amount .Results Atropine group were relatively stable ,no obvious vagal reflex ,dosage of atropine and ephedrine were reduced ,compared with the control group (P<0.05) ,there is significant difference .Conclusion Atropine joint ROM sent because pretreatment can reduce crissum diseases in the operation ,postoperative vagal reflex and maintain circulation stabilization and to ensure the safety of patients .
出处
《环球中医药》
CAS
2013年第S2期181-182,共2页
Global Traditional Chinese Medicine
关键词
阿托品
罗派卡因
预处理
肛周疾病手术
迷走神经反射
Atropine
ROM.Send paid
Pretreatment
Crissum diseases surgery
The vagal nerve reflex
