首页 | 本学科首页   官方微博 | 高级检索  
检索        

吸烟对腹腔镜胆囊切除术后布托啡诺镇痛镇静的影响
引用本文:陶苏蔚,佘高明,王琛,谢红,刘岗.吸烟对腹腔镜胆囊切除术后布托啡诺镇痛镇静的影响[J].临床麻醉学杂志,2012,28(5):445-447.
作者姓名:陶苏蔚  佘高明  王琛  谢红  刘岗
作者单位:1. 苏州大学附属第二医院麻醉科, 苏州市,215004
2. 苏州工业园区娄葑医院麻醉科
摘    要:目的观察吸烟对腹腔镜胆囊切除术患者术后布托啡诺镇痛镇静的影响。方法 200例行腹腔镜胆囊切除术男性患者,分为吸烟组(S组,n=100)和非吸烟组(NS组,n=100),术后均采用静脉布托啡诺镇痛。在术后1、2、6、12、18、24、48h分别采用数字评分法(NRS)和肌肉活动评分法(MAAS)评估镇痛和镇静程度。结果 S组术后1、2、6hNRS评分高于NS组,术后1、2hMAAS评分高于NS组(P<0.05)。结论吸烟患者行腹腔镜胆囊切除手术后,布托啡诺的镇痛和镇静效果弱于非吸烟患者。

关 键 词:吸烟  术后镇痛  布托啡诺  腹腔镜胆囊切除术

Effect of smoking on postoperative analgesia and sedation with hutorphanol after laparoscopic cholecystectomy
TAO Su-wei , SHE Gao-ming , WANG Chen , XIE Hong , LIU Gang.Effect of smoking on postoperative analgesia and sedation with hutorphanol after laparoscopic cholecystectomy[J].The Journal of Clinical Anesthesiology,2012,28(5):445-447.
Authors:TAO Su-wei  SHE Gao-ming  WANG Chen  XIE Hong  LIU Gang
Institution:.Department of Anesthesiology, Second Affiliated Hospital, Suzhou University, Suzhou 215004, China
Abstract:Objective To investigate the effect of smoking on postoperative analgesia and sedation with butorphanol after laparoscopic cholecystectomy.Methods Two hundreds adult male patients undergoing laparoscopic cholecystectomy were divided into group smoking (group S) and group non-smoking (group NS) with 100 cases each. Butorphanol was intravenously infused in both groups after operation. Numerical rating score (NRS) and motor activity assessment scale (MAAS) were evaluated at 1, 2, 6, 12, 18, 24 and 48 h after operation, respectively.Results The NRS at 1, 2 and 6 h were higher in group S than in group NS. The MAAS were higher in group S than in group NS at 1 and 2 hours postoperatively.Conclusion Butorphanol exerts poorer analgesic and sedative effects in smoking patients than nonsmoking patients after laparoscopic cholecystectomy.
Keywords:Smoking  Postoperative analgesia  Butorphanol  Laparoscopic cholecystectomy
本文献已被 CNKI 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号