结直肠手术患者全麻拔管后肌松残余发生率及其应对措施  

Colorectal Surgery in Patients with General Anesthesia the Incidence of Muscle Relaxant Residual after Extubation and its Countermeasures

作　　者：陈晓峰[1] 刘学连[1] 王淑荣[1] 魏玲[1] 马显亮 史学梅[1] 

机构地区：[1]河北省黄骅市人民医院麻醉科,河北黄骅061100

出　　处：《中国医药指南》2015年第28期4-5,共2页Guide of China Medicine

基　　金：河北省沧州市科技局科技支撑项目(141302100)

摘　　要：目的探讨结直肠手术患者全麻拔管后肌松残余的发生率及其应对措施。方法将我院100例全身麻醉结直肠手术患者资料进行整理分析,同时使用肌松监测仪监测肌松及评估患者肌松残余的发生率,并分析预防患者出现术后肌松残余的措施。结果结直肠手术全麻患者术后用客观评估法拔管后肌松残余的发生率为63%,肌松残余组与非肌松残余组在患者体质量、年龄、肌松剂类型方面比较有显著差别(P<0.05);手术过程中要注意麻醉管理,最大限度降低术后肌松残余发生率,防止并发症的发生。结论结直肠手术全麻患者术后肌松残余的发生率明显升高,所以要注意患者手术过程中的麻醉管理,加强监测。Objective To study the patients with colorectal surgery the incidence of muscle relaxant residual after general anesthesia and its countermeasures. Methods Our hospital 100 cases of colorectal patients under general anesthesia to collate data analysis colorectal surgery, using neuromuscular monitoring and assessment of the patient monitoring NMB incidence of residual NMB and analyzing the prevention of postoperative residual NMB measures to patients. Results Postoperatively in patients with colorectal surgery anesthesia with objective evaluation method of the incidence of muscle relaxant residual after extubation was 63%, the residual group with the muscle relaxant residual muscle relaxant in patients＇ body quality, age, type of nondepolarizing agent has more significant difference（p〈0.05）; should pay attention to during the process of surgery anesthesia management, maximum limit reduce the incidence of postoperative muscle relaxant residual, prevent the occurrence of complications. Conclusion Patients with colorectal surgery anesthesia significantly higher incidence of postoperative residual of muscle relaxant, so pay attention to the patients in the process of surgery anesthesia management, strengthen the monitoring.

关 键 词：结直肠手术 肌松残余 发生率 

分 类 号：R614[医药卫生—麻醉学]