3组辅助用药减少硬膜外麻醉下胆系牵拉反应的比较  

作　　者：钟秋华 

机构地区：[1]黑龙江省七台河市精煤集团公司医疗中心总医院麻醉科,154600

出　　处：《中国医药指南（学术版）》2008年第9期12-13,共2页Guide of China Medicine

摘　　要：目的研究哌替啶加氟哌利多(度氟合剂)、度氟合计加芬太尼、哌替啶加异丙嗪(度非合剂)用于硬膜外麻醉下实施胆系手术抑制内脏牵拉反应(胆-心反射),减少对循环的影响。方法60例ASAⅠ～Ⅲ行胆系手术患者,随机分成Ⅲ组。Ⅰ组:辅用哌替啶加氟哌多利多;Ⅱ组:哌替啶加氟哌替啶和芬太尼;Ⅲ组:哌替啶加异丙嗪。结果Ⅱ组患者牵拉内脏时恶心及牵拉痛明显轻于Ⅰ组和Ⅲ组。结论硬膜外麻醉下实施胆系手术时,辅用哌替啶加氟哌利多和芬太尼,并在手术探查前加用阿托品可有效减轻胆-心反射。Objective To study the inhibition of visceral dragging reaction during bile operation tender epidural epidural anesthesia with pethidin and droperidol, fentanyl,diprozin to reduce to reduce the affection. Methods 60 cases of ASA Ⅰ-Ⅲ bile operation patient were divided into three aroups,group A of PD,group B of PF and group C of PD. Results The circulation affection in group B was lighter than those in other groups. Conclusion The group Bmethod might reduce the affection on circulation in bile operation under epidural anesthesia.

关 键 词：麻醉学 胆-心反射 度氟合剂 芬太尼 度氟合剂 

分 类 号：R614[医药卫生—麻醉学]