摘要
目的调查分析全身麻醉以后复苏室病人术后肌松的残余发生情况。方法选取2015年1月—2016年1月该院行全身麻醉以后转运到复苏室的患者240例,按照抽样方式分为研究组与常规组,每组120例,研究组使用了肌肉松弛的拮抗剂,而常规组没有使用肌肉松弛的拮抗剂,对患者药物处理以及手术信息等情况下进行如实记录与分析。结果 97.5%的患者接受新斯的明拮抗的肌松剂,2.5%的患者接受了γ-环湖精类拮抗的肌松剂;两组患者肌松残余的发生率比较差异有统计学意义(P<0.05);两种药物的肌松残余发生率差异有统计学意义(P<0.05)。结论在全身性麻醉患者转到复苏室以后,患者使用的药物、药物剂量、药物使用的时间会导致患者肌松残余发生情况存在差异,这就需要医师重视药物的使用,准确掌握药量与用药时间,尽可能降低肌松残余的发生率。
Objective To survey and analyze the occurrence of postoperative residual paralysis in patients in resuscitation room after general anesthesia. Methods 240 cases of patients transferred to the resuscitation room after general anesthesia in our hospital from January 2015 to January 2016 were selected and randomly divided into two groups with 120 cases in each, the research group adopted muscular relaxation antagonist, while the conventional group didn’t adopt muscular relax-ation antagonist, and the drug treatment and operation information of patients were faithfully recorded and analyzed. Results 97.5% patients received neostigmine muscular relaxation antagonist, 2.5% patients received β cyclodextrin muscular relax-ation antagonist, and the difference in the incidence rate of residual paralysis was obvious with statistical significance, P〈0.05, and there was an obvious difference in the incidence rate of residual paralysis between the two drugs with statistical significance, P〈0.05. Conclusion After patients are transferred to the resuscitation room after general anesthesia, the appli-cation drug, drug dosage and drug application time can lead to difference in the occurrence of residual paralysis, which re-quires that the physicians pay attention to the application of drugs, accurately master drug dosage and drug-use time and reduce the incidence rate of residual paralysis as far as possible.
出处
《中国卫生产业》
2016年第14期45-47,共3页
China Health Industry
关键词
全身麻醉
复苏室
肌松残余发生情况
General anesthesia
Resuscitation room
Occurrence of residual paralysis
