术前注射布托啡诺后导尿预防术后留置尿管引起的躁动  

Effects of Butorphanol before Inducing General Anesthesia on Emergence Agitation Caused by Urinary Catheteri-zation

作　　者：张磊[1] 黄慧群[1] 严蓉[1] 

机构地区：[1]江苏省扬州市苏北人民医院麻醉科,225001

出　　处：《中华全科医学》2012年第11期1708-1709,共2页Chinese Journal of General Practice

摘　　要：目的对全麻患者麻醉诱导前注射布托啡诺后导尿和麻醉诱导后导尿的效果进行了对比。方法选择ASAⅠ～Ⅱ级行胃癌根治术的患者60例,随机分为两组(Ⅰ组和Ⅱ组)各30例。Ⅰ组(布托啡诺组)于麻醉诱导前静脉注射布托啡诺1 mg,5 min后导尿;Ⅱ组(对照组)于麻醉诱导起效后导尿。记录导尿毕(T0)、拔管时(T1)、拔管后5 min(T2)及拔管后30 min(T3)的平均动脉压(MAP)和心率(HR)及患者的躁动情况。结果两组在麻醉苏醒期MAP和HR及患者的躁动情况比较差异均有统计学意义(P<0.05)。结论麻醉诱导前使用布托啡诺可以减轻插置导尿管引起的疼痛,减少术后躁动的发生。Objective To evaluate the efficacy of butorphanol before inducing general anesthesia on emergence agitation caused by urinary catheterization, and compared to the urinary catheterization after the anesthesia induction. Methods Sixty gastric cancer patients undergoing radical operation were randomly allocated into two groups with 30 subjects：Group I （Butorphanol group ） ： the urinary catheterization was performed following intravenous injection of I mg Butorphanol before the induction of gen- eral anesthesia. Group II （control group） ,the urinary catheterization was performed after the induction of general anesthesia uri- nary. MAP, HR and emergence agitation caused by urinary catheterization at To ,T1 , T2 and T3 point were recorded. Results The difference in MAP, HR and emergence agitation during anesthesia recovery period were statistical significance （ P 〈 0.05 ） be- tween the two groups. Conclusion Butorphanol before the inducement of general anesthesia can reduce the pain caused by uri- nary catheterization, and decrease the incidence of emergence agitation.

关 键 词：麻醉诱导 布托啡诺 术后躁动 导尿 

分 类 号：R619[医药卫生—外科学] R614[医药卫生—临床医学]