重庆医学Issue(10)：1203-1205,3.DOI:10.3969/j.issn.1671-8348.2014.10.018
地佐辛术毕前应用对妇科腹腔镜手术患者复苏期及术后疼痛的影响
Influence of dezocine used before end of operation on recovery and postoperative pain
杨海慧 1黄焕森 2李长科1
作者信息
- 1. 广东省粤北人民医院麻醉科，广东韶关512026
- 2. 广州医科大学第二附属医院麻醉科，广东广州510260
- 折叠
摘要
Abstract
Objective To observe the influence of dezocine used before end of operation on postoperative recovery and its inter-vention effect on postoperative pain in the patients with gynecological laparoscopic operation .Methods 60 patients(ASA Ⅰ - Ⅱ ) scheduled hysterectomy operation by gynecological laparoscopy were randomly divided into the observation group (dezocine group , n=30) and the control group(normal saline group ,n=30) .Remifentanil combined with propofol was intravenously given for con-ducting endotracheal intubation general anesthesia .The observation group was given dezocine 0 .1mg/kg(diluting to 10mL by nor-mal saline) at 30-40 min before the end of operation ,while the control group was given the same volume of physiological saline . Blood pressure ,heart rate(HR) ,recovery time ,adverse reactions during the recover period and postoperative pain before induction , after injection and before recovery were recorded .Results The elevation of mean arterial pressure(MAP) and the increase of HR during the recovery period in the observation group were lower than those in the control group (P<0 .05);the recovery time of au-tonomous respiration and extubation time had no statistical difference between the two groups (P>0 .05) .PO2 ,PCO2 and SaO2 had no statistical difference between the two groups (P>0 .05);the postoperative agitation-sedation scores(PASS) and the visual ana-logue scale(VAS) scores in the observation group were significantly lower than those in the control group (P<0 .05) ,and the oc-currence rate of chills also was lower than that in the control group (P<0 .05) .Conclusion Intravenous dezocine before the end of operation in the gynecological laparoscopic operation can effectively inhibit the cardiovascular stress reaction ,does not affect the re-covery speed ,moreover can decrease the restlessness during the recovery period and postoperative pain .关键词
地佐辛/瑞芬太尼/妇科外科手术/腔镜镜/术后镇痛/麻醉复苏Key words
dezocine/remifentanil/gynecologic surgical operation/laparoscope/postoperative analgesia/anesthesia recovery引用本文复制引用
杨海慧,黄焕森,李长科..地佐辛术毕前应用对妇科腹腔镜手术患者复苏期及术后疼痛的影响[J].重庆医学,2014,(10):1203-1205,3.
