摘要
Abstract
Objective:To analyze the the waist-epidural anesthesia using tramadol tropisetron treatment effect in patients with concurrent chills. Method:Selected January 2011 to December 2012 during admitted to the ASA(American narcotic medicine will be)the I-II level and waist-hard joint anesthesia downlink patients undergoing elective surgery 120 cases for the study,after insulation treatment efficacy was not good or not onset,were randomly divided into three groups(group A,group B and group C),each of 40 cases,the A group was treated with tramadol,the B Suite Ma Duotuo alkyl granisetron,C tramadol droperidol to observe and record the classification of the three groups before treatment chills,chills stop time after treatment, the number of recurrent cases,nausea and vomiting score,mean arterial pressure(MAP),heart rate(HR),oxygen saturation(SpO2)changes.Result:Group C 3 min chills stop the number of cases significantly more than in group A,B and C treatment,the recurrence rate was significantly lower in group A(P<0.05);A treatment,the incidence of adverse reactions such as nausea,vomiting significantly>B,C two groups(P<0.05),A,B,C three groups before and after treatment MAP,HR,SpO2 change,the difference was not statistically significant(P>0.05),group C patients after treatment of seven cases of lethargy symptoms.Conclusion:Waist-tramadol tropane granisetron or droperidol epidural anesthesia after concurrent chills efficacy very significant,tramadol treatment after clinical symptoms such as nausea,vomiting excellent preventive effect,but tropisetron treatmentadverse reactions is significantly lower than droperidol,which is efficacy,excellent clinical effect.关键词
曲马多/托烷司琼/腰-硬联合麻醉/寒战/疗效Key words
Tramadol/Tropisetron/Spinal-epidural anesthesia/Chills/Efficacy
