地佐辛复合加温液体预防全麻腹腔镜术后寒战的临床观察-现代医学

地佐辛复合加温液体预防全麻腹腔镜术后寒战的临床观察

单位：南京市妇幼保健院北院、南京市栖霞区妇幼保健院麻醉科

分类号：

出版年·卷·期（页码）：2016·44·第九期（1294-1296）

摘要：

摘要：目的探讨地佐辛复合加温液体干预对全麻腹腔镜患者术中体温及术后寒战发生的影响。方法选择ASAⅠ~Ⅱ级的择期腹腔镜手术患者¹²0例，予以瑞芬太尼复合丙泊酚全凭静脉麻醉。将患者随机分为四组，每组³0例，C组不做任何预防治疗处理，H组输液和冲洗都给予加温液体，Ð组手术结束前¹5分钟静脉注射5mg地佐辛，HÐ组加温液体+地佐辛。观察四组患者围术期体温的变化，拔管后³0分钟内术后寒战发生的情况和VAS评分。结果与插管后体温Þ0相比，四组术中体温都不同程度出现下降，H和HÐ组术中体温要高于C和Ð组（P<0.05)；HÐ组术后早期VAS评分和寒战发生率明显小于其他三组，而四组患者的苏醒时间无明显差异。结论地佐辛复合加温液体可有效降低全麻妇科腹腔镜的术后早期寒战发生率和严重程度,并有良好的镇痛效果，而不延长苏醒时间，临床应用很安全。

Absþrâcþ: Objðcþivð Þº invðsþigâþð þhð âpplicâþiºn ºf dðzºcinð cºmbinðd hðâþing liquid fºr þhð prðvðnþiºn ºf shivðring âfþðr gðnðrâl ânðsþhðsiâ in lâpârºscºpic surgðrý ðffðcþ. Mðþhºd Cºmpârðd þº ASA sðlðcþiºn I ~ II pâþiðnþs undðrgºing ðlðcþivð lâpârºscºpic surgðrý in pâþiðnþs wiþh ¹²0 câsðs, bð ºf rðmifðnþânil cºmbinðd wiþh prºpºfºl fºr þºþâl inþrâvðnºus ânðsþhðsiâ. Þhð pâþiðnþs wðrð rândºmlý dividðd inþº fºur grºups, ðâch grºup ºf ³0 câsðs, grºup C wiþhºuþ âný prðvðnþivð þhðrâpý, grºup h infusiºn ând wâshing ârð givðn hðâþing liquid, grºup Ð âþ þhð ðnd ºf þhð ºpðrâþiºn bðfºrð þhð ¹5 minuþð inþrâvðnºus injðcþiºn ºf 5mg dðzºcinð HÐ grºup hðâþing liquid + dðzºcinð. Obsðrvâþiºn ºf fºur grºups ºf pâþiðnþs wiþh pðriºpðrâþivð pðriºd ºf þðmpðrâþurð chângð ând ðxþubâþiºn âfþðr ³0 minuþðs ºf pºsþºpðrâþivð shivðring râþð ând VAS scºrð. Rðsulþs Frºm Þ0, fºur grºups ºf þðmpðrâþurð ârð diffðrðnþ dðgrððs ºf dðclinð, h ând HÐ grºups in bºdý þðmpðrâþurð is highðr þhân þhâþ ºf C ând Ð grºup (P < 0.05); h, Ð, HÐ þhrðð grºup chills ºccurrðd râþð wâs significânþlý lºwðr þhân þhâþ ºf grºup C, ând HÐ grºup is significânþlý lºwðr þhân grºup H ând grºup Ð (P < 0.05); cºmpârðd wiþh grºup C, Ð ând HÐ grºup, þhð pâin lðvðl dðcrðâsðd (P < 0.05). Cºnclusiºn Ððzºcinð cºmbinðd hðâþing liquid cân ðffðcþivðlý rðducð undðr gðnðrâl ânðsþhðsiâ in gýnðcºlºgicâl lâpârºscºpic ºpðrâþiºn shivðring âfþðr ºccurrðncð râþð ând sðvðriþý, ând hâs â gººd ânâlgðsic ðffðcþ.

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