在全身麻醉下68例腹腔镜手术中地佐辛超前镇痛的应用观察.docVIP

在全身麻醉下68例腹腔镜手术中地佐辛超前镇痛的应用观察 　　摘 要：目的：探究分析地佐辛超前镇痛在腹腔镜手术中的应用效果和特点。方法：从我院2011年2月至2013年10月接收并治疗的腹腔镜手术患者中随机性抽取68例进行回顾性分析和探究，并将其按照相关标准随机性分为研究组和对照组，每组各34例，其中对照组采用的是常规性治疗方式，研究组中患者采用的是地佐辛治疗。研究组和对照组患者在麻醉维持药物、手术中用药和有到药物等因素上均不存在明显差异，但研究组中患者在进行麻醉诱导时还会采用0.1mg/kg的地佐辛治疗，对比分析两组患者采用不同治疗方式后的效果和特点。结果：研究组患者围拔管期躁动Ⅰ级 3例，Ⅱ级 1 例，Ⅲ级 0例，发生率为 11%，对照组患者Ⅰ级 7 例，Ⅱ级 4 例，Ⅲ级 2例，发生率为 39%，2 组存在明显性差异（ P 0.05）。 拔管后 1 h、2 h、4 h 和6 h 两组患者的 Ramsay 镇静评分比较不存在明显性差异（ P 0.05）。两组不良反应发生率比较无显著性差异（ P 0.05） 。结论：针对腹腔镜手术患者采用地佐辛超前镇痛可以有效的缓解患者的痛苦，减轻病情，改善术后状况，患者的舒适度和满意度较高，值得在临床上应用和推广。 　　关键词：腹腔镜手术 地佐辛 超前镇痛 全身麻醉 效果 　　Abstract：Objective： To explore the analysis Dezocine preemptive analgesia in laparoscopic surgery apply effects and features. Methods： From our hospital from February 2011 to October 2013 to receive and treat patients with laparoscopic surgery randomness extraction 68 cases were retrospectively analyzed and explored， and in accordance with the relevant standards of randomness into the study group and the control group each group 34 cases， in which the control group used is conventional treatment， patients in the study group is used Dezocine treatment. Study group and the control group were maintained at anesthetic drugs， surgery， there are obvious differences in factors such as medication and not have the drugs， but patients in the study group will adopt 0.1mg/kg ground during induction of anesthesia Dezocine treatment， comparative analysis of two groups of patients after treatment with different effects and features. Results： The study group of patients with extubation restlessness grade Ⅰ 3 cases， Ⅱ grade 1 cases， Ⅲ grade 0 cases， the occurrence rate of 11% in the control group were grade Ⅰ 7 cases， Ⅱ grade 4 cases， Ⅲ grade 2 cases occurred 39%， there are obvious differences between the two groups （P 0.05）. After extubation 1 h， 2 h， 4 h 6 h and the two groups of patients Ramsay sedation score less obvious difference （P 0.05）. There was no significant difference （P 0.05） groups incidence of adverse reacti