曲马多预防全麻病人苏醒期躁动的临床观察 |
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引用本文: | 贺志军,庄县建,张方斌.曲马多预防全麻病人苏醒期躁动的临床观察[J].临床医学工程,2010,17(3):53-54. |
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作者姓名: | 贺志军 庄县建 张方斌 |
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作者单位: | 广东省韶关市铁路医院,广东韶关512023 |
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摘 要: | 目的观察曲马多预防全麻苏醒期躁动的效果,探讨较合适的剂量。方法选择ASAⅠ~Ⅱ级择期手术病人60例,随机分为三组,每组20例。三组病人于手术结束前30分钟分别给予静脉注射曲马多注射液1mg·kg-1(A组)、1.5mg·kg-1(B组)、2mg·kg-1(C组)。结果三组病人的躁动评分:A组病人躁动的发生率高于B、C组(P<0.05);三组病人的呼吸恢复时间、睁眼时间、拔管时间,C组比A、B组延长(P<0.05),B组较A、C组苏醒质量好。结论曲马多可有效地预防全麻苏醒期兴奋躁动症的发生,剂量采用1.5mg·kg-1时苏醒质量好,无明显不良反应。
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关 键 词: | 曲马多 全麻 苏醒期躁动 |
Clinical Effects of Tramadol in Preventing Emergence Agitation from General Anesthesia |
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Abstract: | Objective To observe the effect of tramadol to prevent emergence agitation from general anesthesia,to explore the more appropriate doses.Methods 60 patients of ASA Ⅰ~ Ⅱ undergoing elective surgery were randomly divided into three groups,with each 20 cases.The three groups of patients at 30 minutes before the end of operation were given intravenous injection of tramadol 1 mg·kg-1(group A),1.5 mg·kg-1(group B),2 mg·kg-1(group C).Results The three groups of patients agitation scores:the incidence of restlessness in group A was higher than that in group B,C(P <0.05);In the three groups of patients,the breathing recovery time,eyes open time,extubation time in group C were longer than in group A,B(P <0.05),consciousness quality in group B was better than in group A,C.Conclusion Tramadol may be effective in preventing recovery excited restlessness from general anesthesia,which dose of 1.5 mg·kg-1 can have better conscious-ness quality with no obvious adverse reactions. |
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Keywords: | Tramadol General anesthesia Emergence agitation |
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