喷他佐辛对全麻术后围拔管期心血管反应的影响探讨  

To Investigate the Effect of Pentazocine for Postoperative Cardiovascular Responses during Extubation

作　　者：盛良[1] 

机构地区：[1]宜兴市人民医院麻醉科,江苏宜兴214200

出　　处：《中外医疗》2016年第18期132-134,共3页China & Foreign Medical Treatment

摘　　要：目的分析探讨喷他佐辛对全麻术后围拔管期心血管反应的影响,为临床提供参考依据。方法随机选取60例全麻手术患者作为研究对象,这60例患者均为该院收治,收治时间在2015年9—12月,观察患者的手术时间、术中出血量、血流分析结果及术后拔管时间、术后清醒时间及躁动发生率。结果实验组全麻术后的平均动脉压、心率、心率与收缩压乘积、动脉血氧饱和度与麻醉前差异无统计学意义(P>0.05),对照组全麻术后的平均动脉压、心率、心率与收缩压乘积、动脉血氧饱和度与麻醉前相较差异有统计学意义(P<0.05);实验组的躁动发生率为3.33%,对照组的躁动发生率为20.00%(P<0.05),差异具有统计学意义。实验组与对照组的术后拔管时间、术后清醒时间差异无统计学意义(P>0.05)。结论喷他佐辛可以有效减少全麻手术后围拔管期的心血管反应。Objective To analyze, pentazocine on general anesthesia after tracheal extubation cardiovascular responses dur-ing impact, for clinical provides reference for the study of spray. Methods As the object of study of 60 patients undergoing general anesthesia were randomly chosen and 60 cases of the patients were treated in our hospital, were in September to December 2015 observed patients in operative time, bleeding, blood analysis results and postoperative extubation time, post-operative recovery time and the incidence of postoperative agitation. Results After the experimental group general anesthe-sia of mean arterial pressure, heart rate, heart rate and systolic pressure product, arterial oxygen saturation and before anes-thesia, no significant difference （P〉 0.05）, the control group after general anesthesia of mean arterial pressure, heart rate, heart rate and systolic pressure product, arterial oxygen saturation and Ma drunk before compared with significant difference （P ﹤ 0.05）;The incidence of agitation in the experimental group was 3.33%, and the incidence rate was 20% in the control group. （P﹤0.05）, and the difference is statistically significant. There was no significant difference between the experimental group and the control group （P 〉 0.05）. Conclusion Spray pentazocine can effectively reduce the surgery under general anesthesia after confining pull tube of cardiovascular response.

关 键 词：喷他佐辛 全麻 心血管反应 影响 

分 类 号：R614[医药卫生—麻醉学]