预注参附注射液对蛛网膜下腔联合硬膜外腔阻滞下行前列腺电切患者体温的影响  

Effects of Shenfu Injection on temperature in TURP patients undergoing combined spinal-epidural anesthesia

作　　者：魏闯[1] 蒋燕[1] 唐延先[1] 

机构地区：[1]重庆市肿瘤研究所麻醉科,400030

出　　处：《检验医学与临床》2010年第14期1449-1450,共2页Laboratory Medicine and Clinic

摘　　要：目的观察预防性注射参附注射液对在蛛网膜下腔联合硬膜外腔阻滞下行前列腺电切患者体温的影响。方法选取年龄70～85岁、ASA分级为Ⅰ～Ⅱ级、拟在腰硬联合麻醉下行前列腺电切的患者60例,随机分为参附组(A组)30例和对照组(B组)30例。将参附注射液按1mL/kg溶于生理盐水200mL,A组于麻醉前20min输注完毕,B组用等量生理盐水代替。记录入手术室后,麻醉即刻,麻醉后10、20、30、40、50、60min内患者的体温,同时观察有无寒战发生。结果与麻醉前基础值比较,两组观察对象麻醉后10min体温均明显下降,差异有统计学意义(P<0.05)。但A组与B组比较,A组体温明显升高,差异有统计学意义(P<0.05),且寒战的发生率明显降低。结论腰硬联合麻醉前预注参附注射液对前列腺电切患者体温的维持具有重要意义,可明显降低寒战的发生率。Objective To observe the effects of Shenfu Injection （SI） on temperature in transurethral resection of prostate （TURP）patients undergoing combined spinal-epidural（CSE）anesthesia.Methods 60 patients aged 70-85 years,ASA physical status Ⅰ-Ⅱ,scheduled for selected TURP under combined CSE anesthesia were randomly allocated to two groups（n=30）：group A was injected SI 1 mL/kg dissolved in the saline 200 mL before anesthesia,and group B was injected equivalent saline instead.The following data were recorded and analyzed：temperature before and after anesthesia,at CSE anesthesia and thereafter at 10 min interval for 60 min,and the incidence of shiver.Results Compared with base value pre-anesthesia,temperature was significantly decreased in both groups（P〈0.05）.Compared with group B,temperature was significantly increased and the incidence of shiver was decreased in group A （P〈0.05）.Conclusion Pre-injection SI is greatly significant in maintaining temperature stability in TURP patients undergoing CSE anesthesia,which could decrese the incidence of shiver.

关 键 词：参附注射液 麻醉 硬膜外 蛛网膜下腔 硬膜外腔 经尿道前列腺切除术 体温 寒战 

分 类 号：R614.42[医药卫生—麻醉学] R697.3[医药卫生—外科学]