咪达唑仑伍用布托啡诺在腹部手术硬膜外麻醉中的临床观察 |
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引用本文: | 蔡雪峰,陈星,徐鹏,王亚军.咪达唑仑伍用布托啡诺在腹部手术硬膜外麻醉中的临床观察[J].中国航天工业医药,2010(11):44-45. |
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作者姓名: | 蔡雪峰 陈星 徐鹏 王亚军 |
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作者单位: | 广东省东莞市塘厦医院麻醉科,523721 |
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摘 要: | 目的观察咪达唑仑伍用布托啡诺在腹部手术硬膜外麻醉中的效果。方法下腹部择期手术患者60例,ASAⅠ~Ⅱ级,随机分为2组,Ⅰ组硬膜外麻醉时给予氟哌利多和芬太尼,Ⅱ组给予咪达唑仑和布托啡诺,每组30例,全程观察患者血压、心率、呼吸频率、血氧饱和度、镇静效果及术中的不良反应。结果Ⅱ组镇静效果、对抗内脏牵拉反应程度及顺性行遗忘明显优于Ⅰ组(P〈0.05)。结论咪达唑仑伍用布托啡诺辅用于硬膜外麻醉效果明显,不良反应轻,能够减少对手术的不良记忆和提高麻醉满意率。
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关 键 词: | 咪达唑仑 布托啡诺 硬膜外麻醉 |
The clinical observation of Midazolam and butorphanol on epidural anesthesia in abdominal surgery |
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Institution: | Cai Xuefeng,Chen Xing,Xu Peng,et al.(Department of Anesthesiology,Tangxia Hospital of Dongguan,Guangdong 523721 ) |
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Abstract: | Objective To observe the effect of Midazolam butorphanol epidural anesthesia in abdominal surgery.Methods Sixty cases of patients,ASA statusⅠorⅡ,and randomly divided into two group:fluorine(I group) and Midazolam butorphanol(Ⅱ group).Each group of 30 cases,fully observed the patient's blood pressure,heart rate,breathing rate and blood oxygen saturation,sedation effects and adverse surgery reactions.Results Ⅱ group sedation effect,against visceral traction reaction and anterograde amnesia were significantly better than I group(P〈0.05).Conclusion Midazolam butorphanol assisted epidural anesthesia has obvious effect and adverse reactions that can reduce the negative memories and improve surgical anesthesia satisfaction rate. |
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Keywords: | Midazolam Butorphanol Epidural anesthesia |
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