| 长托宁用于小儿增殖体切除术麻醉前给药的临床观察 |
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| 引用本文： | 李东白,贾 莹,于 洋,熊君宇. 长托宁用于小儿增殖体切除术麻醉前给药的临床观察[J]. 大连医科大学学报, 2007, 29(4): 375-376+379 |
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| 作者姓名： | 李东白 贾 莹 于 洋 熊君宇 |
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| 作者单位： | 大连医科大学,第二临床学院,麻醉科,辽宁,大连,116027 |
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| 摘 要： | [目的]观察小儿增殖体手术前应用长托宁或阿托品对于心率、血压、体温以及分泌物量的影响.[方法]选择择期行增殖体切除术病人30例,ASA Ⅰ～Ⅱ级,随机分为A组(长托宁组)和B组(阿托品组).麻醉开始前30min给予长托宁或阿托品0.02 mg/kg肌肉注射.麻醉诱导采用静脉诱导,记录给药前、麻醉前及拔管后患者的血压、心率及体温.记录患者麻醉前后的口干情况,采用客观的VAS评分,对拔管时气道及口腔分泌物多少进行定量的分析.[结果]两组各时段血压和体温无明显变化,B组用药后心率(101.5±5.8)bpm,明显比A组(94.3±6.4)bpm升高.A组拔管时分泌物(5.4±2.2)mL,明显少于B组(9.7±2.6)mL.A组(1.5±0.2)mL术后3 h分泌物明显低于B组(4.4±2.1)mL(P＜0.05,P＜0.01).术后第2日随访,两组患儿均无尿潴留、肠麻痹.[结论]小儿增殖体切除术前使用长托宁可更有效更持久的抑制腺体分泌,与阿托品相比优势明显.长托宁(0.02 mg/kg肌注)是小儿增殖体切除术理想的术前用药.
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| 关 键 词： | 长托宁 增殖体 小儿 麻醉前 |
| 文章编号： | 1671-7295（2007）04-0375-02 |
| 收稿时间： | 2007-01-31 |
| 修稿时间： | 2007-01-312007-04-27 |
Clinical research on penehyclidine hydrochloride used as preanesthesia in pediatric adenoidectomy |
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| LI Dong-bai,JIA Ying,YU Yang and XIONG Jun-yu. Clinical research on penehyclidine hydrochloride used as preanesthesia in pediatric adenoidectomy[J]. Journal of Dalian Medical University, 2007, 29(4): 375-376+379 |
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| Authors: | LI Dong-bai JIA Ying YU Yang XIONG Jun-yu |
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| Affiliation: | Department of Anesthesiology,the Second Affiliated Hospital of Dalian Medical University,Dalian 116027,China;Department of Anesthesiology,the Second Affiliated Hospital of Dalian Medical University,Dalian 116027,China;Department of Anesthesiology,the Second Affiliated Hospital of Dalian Medical University,Dalian 116027,China;Department of Anesthesiology,the Second Affiliated Hospital of Dalian Medical University,Dalian 116027,China |
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| Abstract: | |
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| Keywords: | penehyclidine hydrochloride atropine preanesthesia adenoidectomy |
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