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作 者:杜锡荣[1]
出 处:《临床合理用药杂志》2013年第30期72-73,共2页Chinese Journal of Clinical Rational Drug Use
摘 要:目的全麻前后安置尿管入麻醉后监测治疗室烦躁程度差异的临床观察。方法选取我院2011年10月—2012年12月全麻患者98例。随机分为两组,每组49例。对照组选择全麻前留置尿管,观察组选择全麻后留置尿管。比较两组患者手术前后收缩压(SBP)、舒张压(DBP)、过敏性坏死反应(HR)、术后pacu烦躁的发生率及苏醒期躁动的发生率。结果两组患者手术前SBP、DBP、HR基础值相似,差异无统计学意义(P>0.05)。拔管时两组患者SBP、DBP、HR均较基础值明显升高(P<0.01);观察组SBP、DBP、HR于拔管后5min、10min均较术前基础值和对照组同时间点增加,差异有统计学意义(P<0.05);对照组术后pacu烦躁的发生率明显低于观察组(P<0.05);对照组苏醒期躁动的发生率为46.9%(23/49),观察组为71.4%(35/49),差异有统计学意义(P<0.05)。结论全麻患者麻醉诱导前留置尿管,麻醉苏醒期对尿管耐受性好,躁动少,减少并发症。Objective To observe the clinical anesthesiabefore and after the placement of catheter into PACUirritabili- ty degree of difference. Methods in our hospital from 2011 October to December 2012 in 98 cases ofpatients with general anes- thesia. Were randomly dividedinto two groups, each group of 49 cases. Choice of control group before general anesthesia in- dwelling catheter, indwelling catheter after general anesthesia inobservation group selection. Two groups were compared before and after operation of systolic blood pressure ( SBP), diastolic blood pressure ( DBP), hypersensitive response ( HR), PACU after operation. The emergence agitation rate and the incidence rate of recovery period. Results the two groups of patients be- fore operation, SBP, DBP, HR values were similar, there was no significant difference (P 〉0. 05). Extubation in patients of two groupsSBP, DBP, HR were compared with the basic valueincreased significantly ( P 〈 0. 01 ) ; group SBP, DBP, HR atSmin after extubation, 10min than the preoperative baseline and control group at the same time increased, the difference was statistically significant ( P 〈 0.05 ) ; control group postoperative PACU irritability incidence was significantly lower than those in the observation group (P 〈0. 05) ; the control group the incidence ofemergenee agitation was 46.9% (23/49), the observa- tion group was 71.4% ( 35/49), the difference was statistically significant ( P 〈 0. 05 ). Conclusion Before induction of an- esthesia in patients with indwelling catheter conclusion anesthesia, anesthesia recovery period on catheter good tolerance, less restless, reduce complications.
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