| 摘要: |
| ［摘要］ 目的 探讨地佐辛预防腹腔镜胆囊切除术治疗急性结石嵌顿性胆囊炎患者苏醒期躁动及疼痛的效果。方法 选择2012-06～2014-06该院普外科收治的80例急性结石嵌顿性胆囊炎患者为研究对象，所有患者均行腹腔镜胆囊切除术治疗，采用计算机随机分组的方式将患者分为观察组和对照组各40例。手术结束前15 min，观察组给予静脉滴注0.1 mg/kg地佐辛，对照组给予静脉滴注1 μg/kg芬太尼，比较两组自主呼吸恢复时间、唤醒时间、拔管时间、视觉模拟评分、躁动评分和拔管后不良反应等情况。结果 观察组平均自主呼吸恢复时间、平均唤醒时间、平均拔管时间明显短于对照组（P<0.05），拔管后出现的不良反应发生率低于对照组（P<0.05）。两组拔管时和拔管后15 min视觉模拟评分和躁动评分比较差异均无统计学意义（P>0.05）。结论 手术结束前15 min静注地佐辛0.1 mg/kg能够有效地预防腹腔镜胆囊切除术治疗急性结石嵌顿性胆囊炎患者苏醒期躁动及其疼痛，值得临床推广应用。 |
| 关键词: 地佐辛 腹腔镜胆囊切除术 急性结石嵌顿性胆囊炎 苏醒期 躁动 疼痛效果 |
| DOI：10.3969/j.issn.1674-3806.2015.09.11 |
| 分类号:R 575.6+1 |
| 基金项目: |
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| Stir and pain prevention effect by dezocine of the acute calculus incarcerated cholecystitis patients treated by laparoscopic cholecystectomy during the awakening period |
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FENG Ji-ze, CAO Bao-feng
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Department of Anesthesiology, the People′s Hospital of Longhua District of Shenzhen, Guangdong 518109, China
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| Abstract: |
| ［Abstract］ Objective To study the stir and pain prevention and treatment effect by dezocine of the acute calculus incarcerated cholecystitis patients treated by laparoscopic cholecystectomy during the awakening period.Methods 80 patients with acute calculus incarcerated cholecystitis treated in the general surgery department from June 2012 to June 2014 were selected as the research subjects. All patients who were performed by laparoscopic cholecystectomy were divided into the control group and the observation group. The control group was given 1 μg/kg fentanyl by intravenous drip and the observation group was given 0.1 mg/kg dezocine by intravenous drip 15 minutes before the end of the surgery. The spontaneous breathing recovery time, waking up time, extubation time, visual analogue scale, agitation score and adverse reactions occurred after extubation were compared between the two groups.Results The spontaneous breathing recovery time, the average wake-up time and the average decannulation time in the observation group were significantly less than those in the control group(P<0.05).Conclusion Dezocine is effective to prevent stir and pain in the acute calculus incarcerated cholecystitis patients treated by laparoscopic cholecystectomy during the awakening period. |
| Key words: Dezocine Laparoscopic cholecystectomy Acute calculus incarcerated cholecystitis Awakening period Restlessness Pain |
