芳香醒脑开窍中药经鼻给药对无痛胃肠镜全身麻醉促醒的作用研究  

The Study on the Effect of Aromatic Xingnao Kaiqiao Traditional Chinese Medicine on Promoting Awakening in Patients with Painless Gastroenteroscopy General Anesthesia

作　　者：陈卓青 易涵 李婉萍 陈垚[1,2] CHEN Zhuo-qing;YI Han;LI Wan-ping;CHEN Yao(GuangDong Second Traditional Chinese Medicine Hospital,Guangzhou,Guangdong,510095;The Fifth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine,Guangzhou)

机构地区：[1]广东省第二中医院,510095 [2]广州中医药大学第五临床医学院

出　　处：《岭南急诊医学杂志》2024年第4期355-357,共3页Lingnan Journal of Emergency Medicine

基　　金：广东省中医药局应用研究项目(20211033)。

摘　　要：目的:观察芳香醒脑开窍中药经鼻给药对无痛胃肠镜全身麻醉患者复苏期各项指标,探索其促醒效果与机制。方法:71例患者随机分成观察组和对照组,观察组35例,对照组36例。观察组在进入复苏室1分钟内给药,直至离开复苏室,对照组采取经鼻导管吸入空气。记录两组复苏期的生命体征、苏醒指标与不良反应发生情况。结果:与对照组相比较,观察组Steward苏醒评分≥4分时间、复苏室停留时间明显缩短,复苏期高血压、低氧血症、疲乏及头晕等症状的发生率明显降低。结论:芳香芳香醒脑开窍药物(麝香、冰片)经鼻给药对全身麻醉患者有促醒作用,并可稳定复苏期间的各项生命体征,减少全麻后复苏期不良反应的发生率。Objective:Observation of aromatic refreshing begin to understand traditional Chinese medicine(TCM)via nasal drug delivery in patients with general anesthesia for painless stomach and recovery of various indicators,pro-mote wake effect and explore its mechanism.Methods:A total of 71 patients were randomly divided into the observation group(35 cases)and the control group(36 cases).Medication was administered to the observation group within 1 min-ute after entering the resuscitation room until leaving the room,while the control group received inhalation of air through a nasal catheter.The vital signs,awakening indicators,and occurrence of adverse reactions during the resuscitation pe-riod were recorded for both groups.Results:Compared with the control group,the time of Steward recovery score≥4 points and the time of stay in resuscitation room in the observation group were significantly shortened,and the incidence of hypertension,hypoxemia,fatigue and dizziness during resuscitation was significantly reduced.Conclusion:Nasal ad-ministration of fragrant nao-resuscitating drugs(musk,Borneol)can promote the awakening of patients under general an-esthesia,stabilize the vital signs during recovery,and reduce the incidence of adverse reactions after general anesthesia.

关 键 词：芳香醒脑开窍药物 经鼻给药 促醒 无痛胃肠镜检查 全身麻醉 

分 类 号：R259[医药卫生—中西医结合]