摘要
目的分析地佐辛对妇科腹腔镜手术患者苏醒期躁动(EA)的影响,探讨临床预防患者EA的良好方法。方法选取我院收治的48例妇科腹腔镜手术患者,根据患者自主意愿分为两组;对照组患者静脉滴注芬太尼,观察组患者静脉滴注地佐辛;分析比较两组患者的各项临床指标和不良反应发生率。结果两组患者的平均动脉压(MAP)、心率(HR)比较差异无统计学意义(P>0.05);观察组患者的视觉模拟评分法(VAS)评分低于对照组,镇静评分标准(Ramsay)评分高于对照组,差异有统计学意义(P<0.05);观察组患者的术后不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论地佐辛静脉注射能有效预防和减少妇科腹腔镜手术患者全麻苏醒期的躁动现象,减轻患者疼痛且安全性高。
Objective To analyze the effect of dezocine on restlessness of patients with gynecological laparoscopic operation of general anesthesia（EA） recovery period. Methods 48 cases of gynecological laparoscopic surgery patients in our hospital were selected, divided into two groups according to patients’ voluntary wishes. The control group were given intravenous infusion of fentanyl, the observation group were intravenous dezocine. The clinical indicators and incidence of adverse reactions were compared between the two groups. Results Two groups of patients with MAP, HR was not statistically significant（P〉0.05）. The VAS score of observation group was less than the control group, Ramsay score was greater than the control group（P〈0.05）. The postoperative adverse reaction rate of observation group was less than the control group（P〈0.05）. Conclusion Dezocine intravenous injection can effectively prevent and reduce the restlessness of patients with gynecologic laparoscopic surgery after general anesthesia, reduce pain and high safety.
出处
《中国继续医学教育》
2016年第36期42-44,共3页
China Continuing Medical Education
