国际麻醉学与复苏杂志   2011, Issue (1): 0-0
    
戊乙奎醚或曲马多对全麻苏醒期导尿管不适的影响
徐德生1()
1.哈尔滨医科大学附属肿瘤医院麻醉科
Effect of intra-operative drugs for prevention of catheter-related bladder discomfort
 全文:
摘要:

【摘要】目的 观察术毕前给予药物对全麻苏醒期尿管不适症状的影响。 方法 90例择期手术患者随机分为三组:术毕前30分钟静注盐酸戊乙奎醚0.015mg•kg-1(P组)、盐酸曲马多1mg•kg-1 (T组)、生理盐水2ml (C组)。术后进入麻醉后恢复室进行导尿管不适评估。结果 P组和T组患者术后导尿管不适症状明显轻于C组(P < 0.05), 两组间差异无显著性。结论 术毕前应用盐酸戊乙奎醚或盐酸曲马多均可有效地缓解麻醉苏醒期尿管不适症状。

关键词: 【关键词】盐酸戊乙奎醚 盐酸曲马多 导尿管相关不适
Abstract:

【Abstract】Objective To evaluate the effect penehyclidine or tramadol on the catheter-related bladder discomfort (CRBD) after extubation . Methods Ninety male patients (18~73 yr), ASA Ⅰ~Ⅱ, undergoing elective surgery were randomly divided into three groups of 30 each . Group P received penehyclidine 0.015mg • kg-1 , or group T received tramadol 1mg • kg-1 , whereas group C received normal saline 2ml 30 min before extubation. The CRBD was assessed after patient's arrival in the post-anesthesia care unit. Severity of CRBD was graded as mild, moderate and severe. Results Severity of CRBD was reduced in P group and T group compared with C group(P < 0.05),and no significant difference between P group and T group. Conclusion Intravenous penehyclidine 0.015mg • kg-1 or tramadol 1mg • kg-1 may treat effectively for reducing the severity of postoperative CRBD.

Key words: 【key words】penehyclidine ; tramadol; catheter-related bladder discomfort