硫酸镁联合参附注射液对老年患者术后康复的影响  

Effects of Magnesium Sulfate Combined with Shenfu Injection on the Aged Patients Recovery after Surgery

作　　者：段晓霞[1] 张官鹏[1] 欧册华[1] 

机构地区：[1]泸州医学院附属医院,泸州646000

出　　处：《中国中医急症》2010年第3期424-426,共3页Journal of Emergency in Traditional Chinese Medicine

摘　　要：目的观察硫酸镁联合参附注射液对老年患者术后康复的影响。方法选取择期行全麻开腹手术的老年患者40例,随机分为硫酸镁联合参附组(治疗组)和对照组,治疗组于麻醉诱导前静脉注射25%硫酸镁0.2mL/kg及参附注射液0.5mL/kg;对照组于麻醉诱导前静脉注射乳酸林格氏液0.5mL/kg,5min后麻醉诱导。比较两组患者术后清醒即刻、术后30min及60min的VAS评分、血流动力学稳定性和心律失常发生的情况。结果患者术后VAS评分治疗组低于对照组,治疗组血流动力学更稳定,心律失常发生率更低。结论静脉应用硫酸镁联合参附注射液可以减少术后疼痛,稳定血流动力学,更利于老年患者的康复。Objective： To observe the effect of magnesium sulfate combined with Shenfu Injection on the aged paitents with the abdominal surgery. Methods： Forty aged paitients undergoing abdominal surgery were randomly divided into the treatment group and the control group. The treatment group was given magnesium sulfate （0. 2mL/ kg） and Shenfu Injection （0. 5mL/kg） and the control group received lactated Ringer＇s solution 0.5mL/kg at 5min before general anesthesia induction. The postoperative pain relief was assessed by visual analog scale （VAS） and hemodynamics at moment of wake up, 30min and 60min after wake up. The arrhythmia incidence rate was recorded also. Results： The VAS scores, hemodynamies and arrhythmia incidence rate in treatment group were lower than those in control group. Conclusion： Intravenous administration of magnesium sulfate combined with Shenfu Injection can reduce the postoperative pain, and be beneficial to aged patients recovery.

关 键 词：老年患者 手术后疼痛 硫酸镁 参附注射液 临床麻醉 

分 类 号：R619[医药卫生—外科学]