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氟比洛芬酯超前镇痛预防肺叶切除术全身麻醉苏醒期躁动的临床观察

栗村瑞 王玉洁 王运灵 王冬婷 杨天德

中国医学前沿杂志(电子版)Issue(11):51-53,3.
中国医学前沿杂志(电子版)Issue(11):51-53,3.

氟比洛芬酯超前镇痛预防肺叶切除术全身麻醉苏醒期躁动的临床观察

Clinical observation of flurbiprofen preemptive analgesia to prevent general anesthesia emergence agitation of lobectomy

栗村瑞 1王玉洁 1王运灵 1王冬婷 1杨天德1

作者信息

  • 1. 第三军医大学新桥医院 麻醉科,重庆 400037
  • 折叠

摘要

Abstract

Objective To discuss the clinical effects and safety of lfurbiprofen preemptive analgesia to prevent general anesthesia emergence agitation of lobectomy. Method 60 cases of patients underwent lobectomy were randomly divided into observation group and control group, 30 cases in each group, all underwent conventional induction anesthesia, surgery patients were given remifentanil, propofol, vecuronium infusion to maintain anesthesia, observation group patients before 30 minutes disposable intravenous injection of lfurbiprofen 1 mg/kg, patients in control group intravenous injection of 5 ml of physiological saline. Two groups of patients were observed with restless score, bleeding time, extubation time, the time of anesthesia and the incidence of adverse reactions. Result Observation group patients restlessness score was (0.88±0.34) points, signiifcantly lower than that of control group [(1.89±0.53) points], the difference was signiifcant (P<0.05);two groups of patients anesthesia time, bleeding time, extubation time there was no significant difference (P>0.05). Observation group after operation dizziness headache was 3 cases (10%), nausea and vomiting was 9 cases (30.00%), chills and fever was 1 case (3.33%), heart palpitations was 3 cases (10%), somnolence was 2 cases (6.67%), control group of patients with dizziness headache was 5 cases (16.67%), nausea and vomiting was 11 cases (36.67%), chills and fever was 2 cases (6.67%), heart palpitations was 1 case (3.33%), somnolence was 4 cases (13.33%), the incidence of adverse reactions in two groups were not signiifcant (P > 0.05). Conclusion Flurbiprofen injection for prevention of general anesthesia emergence agitation of lobectomy is effective, and does not increase the adverse reaction of patients, worthy of clinical application.

关键词

氟比洛芬酯/超前镇痛/肺叶切除术/全身麻醉/苏醒期躁动

Key words

Flurbiprofen/Preemptive analgesia/Lobectomy/General anesthesia/Emergence agitation

引用本文复制引用

栗村瑞,王玉洁,王运灵,王冬婷,杨天德..氟比洛芬酯超前镇痛预防肺叶切除术全身麻醉苏醒期躁动的临床观察[J].中国医学前沿杂志(电子版),2014,(11):51-53,3.

中国医学前沿杂志(电子版)

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