曲马多氟哌利多应用于老年白内障摘除围术期临床观察  

The clinical observation on self-controlled conscious-sedation with tramadol and droperidol in Senile cataract surgery

作　　者：胡胜英[1] 陈旭华[1] 

机构地区：[1]广东省江门市人民医院麻醉科,529000

出　　处：《中国药物与临床》2003年第2期116-117,共2页Chinese Remedies & Clinics

摘　　要：目的　探讨曲马多、氟哌利多清醒镇痛术在老年白内障摘除围术期中的效果及安全性。方法　将12 0例老年白内障手术病人随机分成两组 ,试验组 60例 ,患者局部麻醉前 5min缓注氟哌利多 0 0 5mg/kg ,曲马多2mg/kg ,并采用电子微量泵静脉自控镇痛 (PCIA)输入其混合液 2 4h ;对照组 60例 ,按目前常用麻醉方法 :单纯局部麻醉加球后神经阻滞。结果　试验组与对照组术中、术后两组收缩压 (SBP)、舒张压 (DBP)、心率 (HR)差异有显著性 (P <0 0 5 ) ;血氧饱和度 (SPO2 )两组差异无显著性 (P >0 0 5 )。结论　曲马多、氟哌利多清醒镇静术用于老年白内障摘除围术期安全、有效。Objective To observe the effect and safety of conscious-sedation of tramadol with droperidol on senile cataract surgery.Methods One hundred and twenty patients undergoing senile cataract surgery were individed into test group (groupT,n=60) and control group.Results During and after the senile cataract surgery,the SBP,DBP,HR were significantly different in both groups (P<0.05);but SPO 2 had no significant difference (P>0.05).Conclusion Conscious-sedation with tramadol and droperidol is safe,effective and comfortable in senile cataract surgery.

关 键 词：曲马多 氟哌利多 老年人 白内障摘除 围术期 临床观察 

分 类 号：R779.66[医药卫生—眼科]