摘要
目的研究在气管导管前端15 cm涂抹达克罗宁胶浆对老年高血压全麻患者拔管期的呛咳、躁动以及血流动力学的影响。方法选择I^II期原发性高血压行择期腹腔镜胆囊切除术患者90例,年龄均在60岁以上,按照数字随机法均分为气管导管前端15 cm均匀涂抹达克罗宁胶浆组(A组)和石蜡油组(B组),每组45例。常规麻醉诱导后,用相同的静吸复合麻醉维持,分别记录两组患者在麻醉诱导前(T_1)、拔管前1 min(T_2)拔管时(T_3)、拔管后5 min(T_4)、拔管后10 min(T_5)的心率(HR)和平均动脉压(MAP),同时记录拔管时发生呛咳、躁动的例数。结果 A组患者在拔管前1 min、拔管时、拔管后5min和拔管后10 min的心率和平均动脉压低于B组(P<0.05)。A组患者拔管时发生呛咳、躁动的比例也低于B组(P<0.05)。结论达克罗宁胶浆可有效的抑制老年高血压患者气管插管全麻围拔管期的反应,有利于维持血流动力学稳定,确保老年高血压患者的手术安全。
Objective To studyinfluence of applying dyclonineat anterior 15 cm of endotracheal tube inelderlyanaesthetichypertensive patients to cough, restlessness and hemodynamics during extubation.MethodsChoose 90 patients with primary hypertension I-II undergoing elective laparoscopic cholecystectomy. Average age was over 60.They are digitallyrandomly divided into applying Dyclonine group （A） and paraffin oil （group B） at anterior 15 cm of endotracheal tube,with 45 patients in each group. After routine induction of anesthesia,using the same inhalation anesthesia maintaining two groups of patients.Record heart rate （HR） and mean arterial pressure （MAP）before induction of anesthesia （T1）, 1 minutes before extubation （T2）,during extubation （T3）, ifve minutes after extubation （T4）, 10 minutes after extubation （T5）, as well as number of cases of extubation cough, restlessness.ResultsAccidents of cough and restlessness in group A was lower than group B （P〈0.05）.at one minutes before extubation, during extubation, and at 5 minutes after extubation was lower than the group B （P〈0.05）.ConclusionDyclonine can effectively inhibit general anesthesia extubation response in the elderly hypertensive patients, help maintaining hemodynamic stability, and ensure operation safety in elderly hypertensive patients.
出处
《中国继续医学教育》
2016年第13期65-67,共3页
China Continuing Medical Education
关键词
达克罗宁胶浆
气管拔管
老年
高血压
Daclonine mucilage
Tracheal extubation
Elderly
Hypertension
