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地佐辛对瑞芬太尼联合七氟醚麻醉患者恢复期躁动的缓解作用评价

Relieving Effect Investigation of Dezocine on Restlessness During Recovery Period of Patients who Were Anaesthetized by Remifentanil Combined with Sevoflurane
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摘要 目的探究临床予以瑞芬太尼联合七氟醚麻醉患者躁动恢复期过程中,评价应用地佐辛的缓解作用,为临床麻醉治疗奠定基础。方法自本院2014年6月~2015年12月期间收治的128例外科手术患者,对比患者应用不同麻醉方案进行治疗,观察地佐辛对躁动恢复期的缓解作用。结果予以不同治疗方案后,对试验组患者采用地佐辛治疗的麻醉后躁动的指标均明显优于对照组A、B、C,如评分、躁动发生与持续时间等,差异显著(P<005)。对试验组患者采用地佐辛治疗的不同处理因素各时点Ramsay和VAS明显优于对照组,如T1/2、T1等,差异显著(P<005)。结论临床麻醉给予瑞芬太尼联合七氟醚的躁动恢复期患者,利用地佐辛能有效避免发生恢复期躁动,明显改善不同时点的Ramsay和VAS指标,应广泛推广。 Objective To evaluate the relieving effect of dezocine on restlessness during recovery period of patients who were anaesthetized by remifentanil combined with sevoflurane,and to lay the foundation for clinical treatment of anesthesia Methods A total of128patients operated by our hospital from June2014to December2015were enrolled into this study Patients were treated with different anesthesia regimens,and the relieving effect of dezocine on restlessness during recovery period was observed Results After the different treatment regimens were performed,the associated indexes of anesthesia including agitation,scoring and duration in the observation group were significantly better than those of control group A,B,and C,the difference was statistically significant(P<005)VAS and Ramsay of the observation group patients treated by dezocine at different time points were significantly better than those in the control group,such as T1/2and T1(P<005),and the difference was statistically Conclusion As to restlessness during recovery period of patients anaesthetized by remifentanil combined with sevoflurane during recovery process,the application of dezocine can effectively avoid restorative restlessness,and significantly improve the VAS and Ramsay indicators at different time points,it should be promoted comprehensively
作者 李鹏飞 LI Peng-fei(Department of Anesthesiology,Gongyi City Peoples Hospital,Zhengzhou,Henan,451200, China)
出处 《临床研究》 2017年第12期65-67,共3页 Clinical Research
关键词 瑞芬太尼 七氟醚 地佐辛 恢复期躁动 效果 dezocine remifentanil sevoflurane restorative restlessness effect
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