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1992年我院镇痛门诊成立以来 ,采用无水酒精、亚甲蓝、硫酸镁、地西泮注射液等行神经阻滞治疗原发性三叉神经痛数十例 ,其中应用地西泮注射液行半月节阻滞 4例 ,结果报道如下。1 治疗方法本组 4例均采用半月节侧面进入法 ,操作方法参照冯兰馨、冯克编著“注射外科学”介绍的方法进行。注药时 ,先注入 2 %利多卡因或 0 .75 %布比卡因 1ml,待原疼痛区出现麻醉后 ,缓慢注入地西泮注射液 10 mg,然后更换注射器 ,再注入 Vit B1 5 0 mg及 Vit B1 2 0 .5 mg。注毕观察 10~ 30分钟 ,无异常即可离去。一般每日注射 1次 ,10次为一疗程。若病情需要… 相似文献
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目的 评价右美托咪啶对胃癌根治术后吗啡病人自控静脉镇痛效果的影响.方法 择期拟行胃癌根治术的病人120例,年龄41~64岁,ASA分级Ⅰ或Ⅱ级,采用随机数字表法分为2组(n=60):吗啡组(M组)和吗啡+右美托咪啶组(MD组).于手术结束即刻行病人自控静脉镇痛,M组采用吗啡100 mg,MD组采用吗啡100mg+右美托咪啶200μg,均用生理盐水稀释至200 ml,负荷剂量6 ml,背景输注速率1 ml/h,单次给药剂量3 ml,锁定时间10 min,维持VAS评分≤4分,Ramsay评分2~3分.记录术后24和48 h内吗啡用量、PCA总按压次数和有效按压次数;记录术后镇痛期间恶心、呕吐、瘙痒、心动过缓、低血压、镇静过度和呼吸抑制等不良反应的发生情况.结果 与M组比较,MD组术后24和48 h内吗啡用量、PCA总按压次数和有效按压次数降低,术后恶心、呕吐和瘙痒的发生率降低(P<0.05).两组均未发生心动过缓、低血压、过度镇静和呼吸抑制.结论 右美托咪啶可增强胃癌根治术后吗啡病人自控静脉镇痛的效果,且不良反应少. 相似文献
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预防冠心病人气管插管时应激反应的初探林水雄,李传醋,魏真,甘秀峰,陈本禄关键词冠心病人,气管内插管,应激反应冠心病人的围麻醉期中,任何环节都必须加强管理,以免并发症甚至猝死的发生。现就此类病人如何预防麻醉诱导气管内插管时的应激反应观察30例,作初步小... 相似文献
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目的观察不同剂量舒芬太尼静脉输注用于尿道下裂修复术患儿术后镇痛的效果。方法纳入行尿道下裂修复术患儿60例,年龄2~4岁,ASAⅠ级,随机分为三组,每组20例。在吸入诱导下行单次骶管阻滞(0.25%罗哌卡因1 ml/kg)后,静脉持续输注丙泊酚50μg.kg-1.min-1维持镇静。手术结束后静脉注射舒芬太尼0.1μg/kg,静脉通路连接全自动注药泵,以2 ml/h速度持续输注舒芬太尼1μg.kg-1.d-1(A组)、1.25μg.kg-1.d-1(B组)和1.5μg.kg-1.d-1(C组)至术后48 h。评估并记录小儿术后2、4、8、12、24、36、48 h镇痛效果、镇静程度和不良反应。结果 A、B和C组术后有效镇痛时间分别为25.3 h(95%CI 16.3~34.3 h)、39.9 h(95%CI 32.8~47.0 h)和43.9h(95%CI 38.5~49.3 h);A组镇痛效果欠佳,B和C组术后镇痛效果满意(P<0.05或P<0.01);但C组镇静程度和恶心、呕吐发生率高于A、B组(P<0.05)。结论 1.25μg.kg-1.d-1舒芬太尼静脉输注,用于2~4岁小儿尿道下裂修复术术后镇痛,镇... 相似文献
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Objective To investigate the effect of dexmedetomidine on agitation during recovery from sevoflurane anesthesia in children. Methods Three hundred ASA Ⅰ or Ⅱ children, aged 4-7 yr, weighing 16-30kg, scheduled for elective ear-nose-throat operation under general anesthesia, were randomly divided into 2 groups ( n = 150 each) : control group (group C) and dexmedetomidine group (group D) . Dexmedetomidine 0.5 μg/kg in 20 ml was infused intravenously over 10 min before anesthesia induction in group D, while equal volume of normal Saline was infused in group C. Anesthesia was induced with inhalation of 8 % sevoflurane 5 min after the end of administration . The children were tracheal incubated and mechanically ventilated. Anesthesia was maintained with inhalation of 2 % -3 % sevoflurane. BIS was maintained at 40-60 during operation. The recovery time and agitation within 2 h after operation were recorded. Results There was no significant difference in the recovery time between the two groups ( P > 0.05) . The incidence of agitation was significantly lower in group D than in group C ( P <0.05 ) . Conclusion Dexmedetomidine can reduce the occurrence of agitation during recovery from sevoflurane anesthesia in children. 相似文献
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目的 以50%和95%小儿平稳拔除喉罩的呼气末七氟烷浓度(EC50和EC95)为指标确定拔除喉罩的麻醉深度,并观察1%丁卡因润滑剂对小儿拔除喉罩麻醉深度的影响。 方法 选择全麻下行单侧腹股沟斜疝修补手术的小儿患者50例,ASAⅠ级,年龄2~5岁,体重10~20kg, 随机分为两组(n=25):观察组喉罩表面涂抹含1%丁卡因的液体润滑剂,对照组喉罩表面涂抹不含局麻药的水溶性润滑剂。吸入七氟烷和50%氧化亚氮诱导并维持麻醉,不使用肌肉松弛剂及静脉麻醉药物,手术结束后维持设定的七氟烷浓度15min后拔除喉罩。根据Dixon 序贯法确定喉罩拔除的七氟烷浓度,每0.2%七氟烷浓度为一个增减单位。拔除喉罩时小儿没有出现咳嗽、牙关紧闭、体动、屏气及喉痉挛等认为平稳拔除喉罩。 结果 观察组小儿平稳拔除喉罩的呼气末七氟烷EC50值为1.23%(95%CI,1.11%~ 1.34%), EC95值为1.46%(95%CI,1.34%~2.34%);对照组小儿平稳拔除喉罩的呼气末七氟烷EC50值为1.73%(95%CI,1.61%~1.88%), EC95值为2.01%(95%CI,1.86%~3.07%)。 结论 喉罩表面涂抹1%丁卡因润滑剂后,小儿平稳拔除喉罩的呼气末七氟烷EC50和EC95值分别下降了28.9%和27.4%。 相似文献
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目的 评价右美托咪啶对七氟醚麻醉患儿麻醉恢复期躁动的影响.方法 择期全麻下行耳鼻喉科手术患儿300例,ASA分级Ⅰ或Ⅱ级,性别不限,年龄4~7岁,体重16~30 kg,采用随机数字表法,将其随机分为2组(n=150):对照组(C组)和右美托咪啶组(D组).D组麻醉诱导前经10min静脉输注0.5μg/kg右美托咪啶20 ml,C组输注生理盐水20 ml.给药结束后5 min时吸入8%七氟醚麻醉诱导,气管插管后行机械通气.吸人2%~ 3%七氟醚维持麻醉,术中维持BIS值40~60.记录麻醉恢复时间和术后2 h内躁动的发生情况.结果 与C组比较,D组麻醉恢复时间差异无统计学意义(P>0.05),躁动发生率降低(P<0.05).结论 右美托咪啶可降低七氟醚麻醉患儿麻醉恢复期躁动的发生.Abstract: Objective To investigate the effect of dexmedetomidine on agitation during recovery from sevoflurane anesthesia in children. Methods Three hundred ASA Ⅰ or Ⅱ children, aged 4-7 yr, weighing 16-30kg, scheduled for elective ear-nose-throat operation under general anesthesia, were randomly divided into 2 groups ( n = 150 each) : control group (group C) and dexmedetomidine group (group D) . Dexmedetomidine 0.5 μg/kg in 20 ml was infused intravenously over 10 min before anesthesia induction in group D, while equal volume of normal Saline was infused in group C. Anesthesia was induced with inhalation of 8 % sevoflurane 5 min after the end of administration . The children were tracheal incubated and mechanically ventilated. Anesthesia was maintained with inhalation of 2 % -3 % sevoflurane. BIS was maintained at 40-60 during operation. The recovery time and agitation within 2 h after operation were recorded. Results There was no significant difference in the recovery time between the two groups ( P > 0.05) . The incidence of agitation was significantly lower in group D than in group C ( P <0.05 ) . Conclusion Dexmedetomidine can reduce the occurrence of agitation during recovery from sevoflurane anesthesia in children. 相似文献