诱导前应用达克罗宁在全麻患者手术中的应用(1)
[摘要] 目的 探討麻醉诱导前使用盐酸达克罗宁胶浆导尿对减少患者苏醒期躁动的效果。 方法 选择60例在全麻下施行手术的男性患者，随机分为诱导后组和诱导前组(n=30)。诱导后组的患者在全麻诱导后使用达克罗宁胶浆行导尿术，而诱导前组的患者在全麻诱导前清醒状态下使用达克罗宁胶浆后再行导尿术。观察两组患者置管过程中血流动力学指标的变化并记录麻醉苏醒期躁动的发生率。术后随访，记录满意度评分。 结果 两组患者基线资料具有可比性(P>0.05)；在导尿管置入前、导尿管置入即刻，两组患者SBP、DBP、HR比较，组间差异无统计学意义(P>0.05)；在导尿管置入后1 min、5 min，诱导前组患者SBP、DBP、HR数值明显小于诱导后组，组间比较差异有统计学意义(P<0.05)；诱导前组患者麻醉苏醒期躁动的发生率显著低于诱导后组(P<0.01)，术后两组患者满意度评分无显著差异(P>0.05)。 结论 全麻手术患者在诱导前使用盐酸达克罗宁胶浆导尿安全有效，可减少患者苏醒期躁动的发生率。
[关键词] 达克罗宁；导尿；全身麻醉；苏醒期躁动
[中图分类号] R614.2 [文献标识码] B [文章编号] 1673-9701(2017)28-0109-03
[Abstract] Objective To investigate the effect of dyclonine hydrochloride mucllage in catheterization before induction of anesthesia on the reduction of agitation during the recovery period in patients. Methods A total of 60 male patients undergoing surgery under general anesthesia were randomly divided into post-induction group (n=30) and pre-induction group (n=30). The patients in the post-induction group were treated with dyclonine hydrochloride mucllage in catheterization after induction of general anesthesia. While the patients in the pre-induction group received dyclonine hydrochloride mucllage in the awakening state before induction of general anesthesia and then underwent catheterization. The changes of hemodynamic parameters in the process of catheterization were observed and the incidence of agitation in anesthesia recovery period was recorded. The patients were followed up after surgery and the satisfaction score was recorded. Results The baseline was comparable between the two groups(P>0.05). There were no significant differences in SBP， DBP and HR between the two groups before and when the catheter was placed(P>0.05). The values of SBP， DBP and HR in the pre-induction group were significantly lower than those in the post-induction group at 1 minute and 5 minutes after catheterization， and there was significant difference between the two groups(P<0.05). The incidence of agitation during the recovery period of anesthesia in the pre-induction group was significantly lower than that in the post-induction group(P<0.01). There was no significant difference in satisfaction score between the two groups after treatment(P>0.05). Conclusion In patients with general anesthesia， the use of dyclonine hydrochloride mucllage in catheterization before induction is safe and effective， and can reduce the incidence of agitation in patients with recovery period.
[Key words] Dyclonine； Catheterization； General anesthesia； Agitation during the recovery period, http://www.100md.com(朱希良 柳西好 吴凤姣)
[关键词] 达克罗宁；导尿；全身麻醉；苏醒期躁动
[中图分类号] R614.2 [文献标识码] B [文章编号] 1673-9701(2017)28-0109-03
[Abstract] Objective To investigate the effect of dyclonine hydrochloride mucllage in catheterization before induction of anesthesia on the reduction of agitation during the recovery period in patients. Methods A total of 60 male patients undergoing surgery under general anesthesia were randomly divided into post-induction group (n=30) and pre-induction group (n=30). The patients in the post-induction group were treated with dyclonine hydrochloride mucllage in catheterization after induction of general anesthesia. While the patients in the pre-induction group received dyclonine hydrochloride mucllage in the awakening state before induction of general anesthesia and then underwent catheterization. The changes of hemodynamic parameters in the process of catheterization were observed and the incidence of agitation in anesthesia recovery period was recorded. The patients were followed up after surgery and the satisfaction score was recorded. Results The baseline was comparable between the two groups(P>0.05). There were no significant differences in SBP， DBP and HR between the two groups before and when the catheter was placed(P>0.05). The values of SBP， DBP and HR in the pre-induction group were significantly lower than those in the post-induction group at 1 minute and 5 minutes after catheterization， and there was significant difference between the two groups(P<0.05). The incidence of agitation during the recovery period of anesthesia in the pre-induction group was significantly lower than that in the post-induction group(P<0.01). There was no significant difference in satisfaction score between the two groups after treatment(P>0.05). Conclusion In patients with general anesthesia， the use of dyclonine hydrochloride mucllage in catheterization before induction is safe and effective， and can reduce the incidence of agitation in patients with recovery period.
[Key words] Dyclonine； Catheterization； General anesthesia； Agitation during the recovery period, http://www.100md.com(朱希良 柳西好 吴凤姣)