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地佐辛不同时间用药对全身麻醉苏醒的影响 被引量：12

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摘要 目的:地佐辛术中给药用于术后镇痛时,观察其不同时间用药对全身麻醉苏醒的影响。方法:择期行开腹全子宫切除术的ASAⅠ～Ⅱ级患者60例,根据地佐辛在术中的使用情况,随机分为三组,均采用静吸复合全身麻醉。术毕前60 min用药组(A组),术毕前20 min用药组(B组),对照组不给于地佐辛(C组)。记录术后苏醒时间、拔管后5 min的疼痛VAS评分和改良OAA/S评分。结果:三组在术后的VAS评分上,A组与B组之间差异无统计学意义(P>0.05),与C组比较,A组、B组评分低(P<0.01);在苏醒时间、拔管后的改良OAA/S评分上,A组与C组之间差异无统计学意义(P>0.05),与B组比较,A组、C组在手术结束后较快苏醒(P<0.01),并且改良OAA/S评分较高(P<0.01)。结论:地佐辛在术毕前20 min用药会导致苏醒时间延长,苏醒质量降低,地佐辛术中给药用于术后镇痛时,建议在手术结束前60 min左右用药。
作者 马玉林 夏继林 吴纯斌
机构地区 陕西省安康市中心医院麻醉科 陕西省安康市妇幼保健院
出处 《吉林医学》 CAS 2011年第19期3955-3956,共2页 Jilin Medical Journal
关键词 地佐辛 术后镇痛 用药时间 全身麻醉苏醒 影响
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献9

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共引文献684

同被引文献95

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引证文献12

二级引证文献88

吉林医学
2011年 第19期

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