昂丹西酮复合曲马多用于腰硬联合麻醉后寒颤的临床观察 |
| |
引用本文: | 裴浩之,LIU Zhenxue,郎璁.昂丹西酮复合曲马多用于腰硬联合麻醉后寒颤的临床观察[J].中国现代医生,2008,46(14):7-8. |
| |
作者姓名: | 裴浩之 LIU Zhenxue 郎璁 |
| |
作者单位: | 沈阳急救中心麻醉科,沈阳,110006 |
| |
摘 要: | 目的探讨昂丹西酮复合曲马多用于腰硬联合麻醉后寒颤的临床效果。方法ASAⅠ-Ⅱ级择期在腰硬联合麻醉下行下腹部或下肢手术患者100例,随机分为4组,生理盐水组(N组),昂丹西酮组(0组),曲马多组(T组),昂丹西酮复合曲马多组(O+T组)。N组静脉注射生理盐水10mL,O组静脉注射昂丹西酮4 mg,T组静脉注射曲马多1mg/kg,O+T组是在O组的基础上患者行麻醉穿刺后于平卧位后静脉注射曲马多1mg/kg。观察术中寒颤和恶心、呕吐等的发生情况。结果寒颤发生率N组与O组、T组、O+T组比较有显著性差异(P〈0.01),恶心、呕吐发生率O+T组、O组与N组、T组比较有显著性差异(P〈0.05)。结论麻醉前静脉注射昂丹西酮4mg,平卧位后静脉注射曲马多1mg,kg,对麻醉后寒颤起到很好地预防和治疗作用,并大大降低了恶心、呕吐的发生率。
|
关 键 词: | 昂丹西酮 曲马多 寒颤 腰硬联合麻醉 恶心和呕吐 |
Clinical Observation of Ondansetron Compound Tramadol for Combined Spinal-Epidural Anesthesia after Shivering |
| |
Authors: | PEI Haozhi LIU Zhenxue LANG Cong |
| |
Institution: | PEI Haozhi, LIU Zhenxue, LANG Gong (Deparement of Anaesthesia,Shenyang Emergency Center,Shenyang 110006) |
| |
Abstract: | Objective To discuss the best drug treatment programmes of combined spinal-epidural anesthesia after shivering. Methods ASA Ⅰ- Ⅱ selective combined spinal-epidural anesthesia in the lower abdomen or downlink 100 patients with lower extremity surgery were randomly divided into four groups: NS group (group N), Ondansetron group (group O), tramadol group (group T), Ondansetron compound tramadol group (group O+T). Group N:saline 5mL was injected viavein, Group O:Ondansetron 4mg was injected into viavein, Group T:tramadol 1mg/kg was injected into viavein. Group O+T is in group O of foundation. After anesthesia patients with puncture and the supine position, tramadol 1mg/kg was injected into viavein, to observe shivering, and nausea and vomiting in case in the operation. Results The incidence rate of shivering N group with O group, T group, the O+T group comparison had the significant difference.The incidence of nausea and vomitting in O+T group,O group with N group, T group comparison had the significant difference. Conclusion Injection viavein with Ondansetron 4mg before anaesthesia, tramadol 1mg/kg was injected viavein. Right after anesthesia shivering play a very good role in the prevention and treatment and greatly reduce the incidence of nausea and vomiting. |
| |
Keywords: | Ondansetron Tramadol Shivering Spinal-epidural anesthesia Nausea and vomiting |
本文献已被 维普 万方数据 等数据库收录! |
|