摘要
目的观察曲马多对颈丛麻醉的辅助作用。方法选择30例颈丛麻醉下行甲状腺次全切除术患者,随机分为两组,每组15例,1组为曲马多组(T),2组为对照组(C)。消毒时T组静脉给予曲马多1.0mg/kg,持续静脉滴注曲马多2.0mg/(kg·h)至术毕。分别于手术切皮(T0)、切断颈前肌群(T1)、分离甲状腺上极(T2)、分离甲状腺下极(T)时用视觉模拟评分评估疼痛情况,术中监测血压、心率和氧饱和度的变化。结果3T组于T1,T2,T3各时点镇痛优等率明显高于对照组(P<0.05),且血压和心率的升高明显低于C组(P<0.05)。结论曲马多可改善颈丛麻醉的效果,减轻心血管反应。
To investigate the effect of tramadol on cervical plexus block. 30 patients scheduled for thyroid adenoma or cyst operation under cervical plexus block were randomly divided into two groups: Tramadol group (group T, n =15) and control group (group C, n =15). Tramadol 1.0 mg/kg was given intravenous while disinfecting, and then 2.0 mg/(kg·h) intravenous by drip until the end of operation in group T, Analgesic efficacy was evaluated by visual analogue scale (VAS) at the point of the beginning of operation (T0), cutting off the frontal of neck muscles (T1), separating upper pole of thyroid (T2) and inferior pole of thyroid (T3). BP, heart rate and SpO2 were monitored during operations. Analgesic efficacy was more satisfied in group T than in group C (P <0.05) and the ascending of BP and HR was lower in group T than in group C. [Conclusions] Tramadol can improve the analgesic efficacy of cervical plexus block and attenuates the cardiovascular responses.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第3期406-407,409,共3页
China Journal of Modern Medicine
关键词
曲马多
颈丛麻醉
镇痛
tramadol
cervical plexus blockade (blocking)
analgesia
