地佐辛对腰硬联合麻醉后寒战预防效果的临床研究(1)
[摘要] 目的 探索地佐辛运用于腰硬联合麻醉患者中对预防其麻醉后寒战情况的价值。方法 方便选取2017年2月—2019年10月在该院接受腰硬联合麻醉处置的64例患者开展分析，区分病例方法选择随机双盲方式，各个组别归入32例，实验组选用地佐辛预防麻醉之后寒战方法，参比组选用芬太尼预防麻醉之后寒战方法，统计1～4级寒战整体计算值、恶心呕吐例数、呼吸抑制例数、镇静评估结果。结果 实验组1～4级寒战整体计算值(3.13%)对比参比组检测数据内容(18.75%)变低，评定指标内容相差数值差异有统计学意义(χ2=4.010，P=0.045<0.05);实验组恶心呕吐例数(2例)对比参比组检测数据内容(9例)变低，评定指标内容相差数值差异有统计学意义(χ2=5.379，P=0.020<0.05);实验组镇静评估结果[(2.50±0.39)分]对比参比组检测数据内容[(1.44±0.20)分]变高，评定指标内容相差数值差异有统计学意义(t=13.680，P=0.000<0.05)。结论 为腰硬联合麻醉患者选用地佐辛中有助于预防其麻醉之后出现寒战现象。
[关键词] 地佐辛;腰硬联合麻醉;寒战
[Abstract] Objective To explore the value of dizocine applied to patients with combined spinal and epidural anesthesia to prevent chills after anesthesia. Methods The analysis was performed on 64 patients who underwent combined spinal and epidural anesthesia in the hospital from February 2017 to October 2019. The method of distinguishing cases was randomized and double-blind. Each group was classified into 32 cases. The method of preventing chills after anesthesia with dizocine was selected， and the method of preventing chills after anesthesia with fentanyl was selected in the reference group， and the overall calculated values of grades 1 to 4 chills， the number of cases of nausea and vomiting， the number of cases of respiratory depression， and the results of sedation were calculated. Results The overall calculated value of chills (3.13%) in the experimental group was lower than that in the reference group (18.75%)， and the difference in the evaluation index content was statistically significant (χ2=4.010， P=0.045 <0.05); The number of cases of nausea and vomiting in the experimental group (2 cases) was lower than that in the reference group (9 cases)， and the difference in the evaluation index content was statistically significant (χ2=5.379， P=0.020 <0.05); the sedation evaluation of the experimental group results [(2.50±0.39) points] The content of the test data of the reference group [(1.44±0.20) points] became higher， and there was a statistically significant difference in the value of the evaluation index content(t=13.680， P=0.000 <0.05). Conclusion The use of dizocine in patients with combined spinal and epidural anesthesia can help prevent chills after anesthesia.
[Key words] Dizocine; Combined spinal and epidural anesthesia; Chills
寒戰为腰硬联合麻醉患者在麻醉之后较为多见的一种并发症现象，腰硬联合麻醉患者出现寒战的风险性占据40%上下[1]。寒战容易将腰硬联合麻醉患者手术之后不适情况显著增加，容易导致一定并发症情况，将其氧气消耗情况明显提升，促使颅内压数值、眼内压数值均出现加大[2]。腰硬联合麻醉患者出现寒战现象是由于中枢体温调整中枢出现变化而引发的，临床上多采取盐酸哌替啶予以预防及治疗寒战，不过容易影响其呼吸状况[3]。地佐辛存在缓解疼痛的效果，在手术时期较为常用。现将2017年2月—2019年10月在该医院接受腰硬联合麻醉处置的64例患者归入各项指标计算资料，评估地佐辛在腰硬联合麻醉患者中对预防其麻醉之后寒战情况的意义，报道如下。, 百拇医药(王宏月 曹洪垒)
[关键词] 地佐辛;腰硬联合麻醉;寒战
[Abstract] Objective To explore the value of dizocine applied to patients with combined spinal and epidural anesthesia to prevent chills after anesthesia. Methods The analysis was performed on 64 patients who underwent combined spinal and epidural anesthesia in the hospital from February 2017 to October 2019. The method of distinguishing cases was randomized and double-blind. Each group was classified into 32 cases. The method of preventing chills after anesthesia with dizocine was selected， and the method of preventing chills after anesthesia with fentanyl was selected in the reference group， and the overall calculated values of grades 1 to 4 chills， the number of cases of nausea and vomiting， the number of cases of respiratory depression， and the results of sedation were calculated. Results The overall calculated value of chills (3.13%) in the experimental group was lower than that in the reference group (18.75%)， and the difference in the evaluation index content was statistically significant (χ2=4.010， P=0.045 <0.05); The number of cases of nausea and vomiting in the experimental group (2 cases) was lower than that in the reference group (9 cases)， and the difference in the evaluation index content was statistically significant (χ2=5.379， P=0.020 <0.05); the sedation evaluation of the experimental group results [(2.50±0.39) points] The content of the test data of the reference group [(1.44±0.20) points] became higher， and there was a statistically significant difference in the value of the evaluation index content(t=13.680， P=0.000 <0.05). Conclusion The use of dizocine in patients with combined spinal and epidural anesthesia can help prevent chills after anesthesia.
[Key words] Dizocine; Combined spinal and epidural anesthesia; Chills
寒戰为腰硬联合麻醉患者在麻醉之后较为多见的一种并发症现象，腰硬联合麻醉患者出现寒战的风险性占据40%上下[1]。寒战容易将腰硬联合麻醉患者手术之后不适情况显著增加，容易导致一定并发症情况，将其氧气消耗情况明显提升，促使颅内压数值、眼内压数值均出现加大[2]。腰硬联合麻醉患者出现寒战现象是由于中枢体温调整中枢出现变化而引发的，临床上多采取盐酸哌替啶予以预防及治疗寒战，不过容易影响其呼吸状况[3]。地佐辛存在缓解疼痛的效果，在手术时期较为常用。现将2017年2月—2019年10月在该医院接受腰硬联合麻醉处置的64例患者归入各项指标计算资料，评估地佐辛在腰硬联合麻醉患者中对预防其麻醉之后寒战情况的意义，报道如下。, 百拇医药(王宏月 曹洪垒)