南京医科大学学报（自然科学版）2011，Vol.31Issue(7)：1036-1039,4.
地佐辛对瑞芬太尼复合七氟醚麻醉苏醒期躁动的影响
Effects of dezocine on the agitations after remifentanil-sevoflurane anaesthesia
安礼俊 1张宙新 1胡伟 1刘存明2
作者信息
- 1. 南京医科大学附属淮安第一医院麻醉科,江苏淮安,223300
- 2. 南京医科大学第一附属医院麻醉科,江苏南京,210029
- 折叠
摘要
Abstract
Objective;To observe the effects of dezocine on the agitations after remifentanil-sevoflurane anaesthesia. Methods; Eighty ASA I orⅡ grade patients who were scheduled for total hysterectomy under laparoscopy.aged from 46 to 65 years,were randomly divided into experimental group (group E, n=40) and control group (group C, n=40). Patients in group E were administered with 10 mg dezocine and in group C with 2 ml normal saline at 20 min before the end of the operations. Heart rate (HR) and the mean arterial pressure (MAP) at the end of the operations, endotracheal extubation and 5 min after endotracheal extubation were recorded. Agitation score during endotracheal extubation and the Ramsay sedation score 5 min later were observed. Duration from the end of the operation to the extubation was also recorded. Results ;HR and MAP at the end of the operations had no significant differences between two groups (P > 0.05),but they raised markedly in group C at extubation and 5 min later(P < 0.05). They were also obviously increased in group E at extubation (P < 0.05), but had no significant differences 5 min later {P < 0.05). There were remarkably differences in HR and MAP at extubation and 5 min later between group E and group C (P < 0.05).Agitation score was lower in group E than in group C during extubation (P < 0.05). Ramsay sedation score was higher in group E than in group C 5 min after extubation(P < 0.05). Duration from the end of operation to extubation had no statistic differences between the two groups(P < 0.05). Conclusion:Dezocine can effectively alleviate the agitations after remifentanil-sevoflurane anaesthesia.关键词
地佐辛/瑞芬太尼/七氟醚/躁动Key words
dezocine/remifentanil/sevoflurane/agitation分类
医药卫生引用本文复制引用
安礼俊,张宙新,胡伟,刘存明..地佐辛对瑞芬太尼复合七氟醚麻醉苏醒期躁动的影响[J].南京医科大学学报（自然科学版）,2011,31(7):1036-1039,4.
