摘要
目的：观察术前应用盐酸氢吗啡酮在防止腹腔镜胆囊切除术苏醒期躁动的效果。方法选择 ASAⅠ～Ⅱ级择期行腹腔镜胆囊切除术患者60例，随机分为盐酸氢吗啡酮组（M 组）30例和生理盐水组（N 组）30例。M 组在手术切皮前15 min 给予氢吗啡酮2 mg 皮下注射，N 组在手术切皮前15 min 给予生理盐水2 ml 皮下注射，观察记录拔管后5、15、30、45 min 时的苏醒期躁动评分（RS）。结果 M 组和 N 组在拔管后5 min 和15 min 时的苏醒期躁动评分（RS）对比有统计学差异（P＜0.05）。结论术前应用盐酸氢吗啡酮能有效防止腹腔镜胆囊切除术苏醒期躁动。
Objective To observe the preoperative use of hydromorphone hydrochloride in the prevention of effects of laparoscopic cholecystectomy restlessness. Methods Selected 60 cases undergoing elective laparoscopic cholecystectomy of ASAⅠ-Ⅱ levels, randomly divided into two groups, Group M （hydromorphone group） and group N （NS group）. Group M was injected subcutaneous 2 mg hydromorphone before surgical in front of 15 min; Group N was injected 2 ml NS before surgical in front of 15 min. Observed and record after extubation restlessness in 5 min, 15 min, 30 min, 45 min scores （RS）. Results Restlessness scores of group M and N was significantly different in contrast of 5 min and 15 min after the extubation （P〈0.05）. Conclusion Preoperative use of hydromorphone hydrochloride can effectively prevent restlessness in laparoscopic cholecystectomy.
出处
《中华临床医师杂志（电子版）》
CAS
2015年第1期68-70,共3页
Chinese Journal of Clinicians(Electronic Edition)
