地佐辛与舒芬太尼对腹腔镜胆囊切除术后患者苏醒质量的影响比较  

Comparison of the effects of dizosin and sufentanil on the recovery quality of patients after laparoscopic cholecystectomy

作　　者：柳毅 谭剑[1] 袁婉秋 LIU Yi;TAN Jian;YUAN Wanqiu(Department of Anesthesiology,Pingxiang People's Hospital,Pingxiang,Jiangxi,337055,China)

机构地区：[1]萍乡市人民医院麻醉科,江西萍乡337055

出　　处：《当代医学》2021年第14期61-63,共3页Contemporary Medicine

摘　　要：目的探究腹腔镜胆囊切除术后患者应用地佐辛镇痛麻醉对苏醒质量的影响。方法选取本院2018年11月至2019年10月收治的行腹腔镜胆囊切除术的患者80例,随机分为对照组和观察组,各40例。两组患者均实施气管插管麻醉,吸入咪达唑仑+异丙酚+舒芬太尼+顺式阿曲库铵,术中持续滴注异丙酚麻醉,吸入七氟醚。术后关腹时,观察组使用0.1 mg/kg地佐辛,对照组使用0.002 mg/kg舒芬太尼。比较两组患者术后苏醒时间、拔管时间,不同时间视觉模拟(VAS)评分、Ramsay镇静评分及不良反应发生情况。结果观察组术后苏醒时间、拔管时间均明显短于对照组(P<0.05);观察组不良反应发生率明显低于对照组,不同时段VAS评分与Ramsay评分均明显低于对照组(P<0.05)。结论给予腹腔镜胆囊切除术患者术后注射0.1mg/kg地佐辛注射液,能有效缩短患者苏醒和拔管时间,镇静效果显著,且安全性较高,值得临床推广运用。Objective To study the effect of dizosin analgesia on the quality of recovery after laparoscopic cholecystectomy.Methods 80 patients who underwent laparoscopic cholecystectomy from November 2018 to October 2019 were randomly divided into control group and observation group,with 40 cases in each group.Both groups were anesthetized by tracheal intubation,inhalation of midazolam+propofol+sufentanil+cisatracurium,continuous infusion of propofol during the operation,inhalation of sevoflurane.After abdominal closure,0.1 mg/kg of dizosin was used in the observation group and 0.002 mg/kg of sufentanil was used in the control group.The recovery time,extubation time,VAS score,Ramsay sedation score and adverse reactions were compared between the two groups.Results The recovery time and extubation time in the observation group were significantly shorter than those in the control group(P<0.05),the incidence of adverse reactions in the observation group was significantly lower than that in the control group,and the VAS score and Ramsay score in different periods were significantly lower than those in the control group(P<0.05).Conclusion The injection of 0.1 mg/kg of dizosin after laparoscopic cholecystectomy can effectively shorten the time of recovery and extubation of patients,and has significant sedative effect and high safety,which is worthy of clinical reference.

关 键 词：地佐辛 舒芬太尼 腹腔镜 麻醉期躁动 麻醉苏醒质量 

分 类 号：R614[医药卫生—麻醉学]