国际麻醉学与复苏杂志   2015, Issue (7): 5-5
    
不同剂量地佐辛预防舒芬太尼诱发呛咳反应的临床观察
孙继雄, 刘圣, 陆慧红, 陈洪飞, 殷宓1()
1.上海市东方医院
The effects of different doses of Dezocine on preventing Sufentanil-induced cough
 全文:
摘要:

目的 观察和评价不同剂量地佐辛对全麻诱导过程中舒芬太尼诱发呛咳反应的预防作用。方法 选取择期全麻手术患者240例,美国麻醉医师协会(ASA)I或II级,年龄18~65岁,男女不限,采用随机数字表法随机分为对照组(C组)、地佐辛1组(D1组)、地佐辛2组(D2组),每组80人。全麻诱导静脉注射舒芬太尼前3分钟(T0),C组、D1组和D2组分别静脉注射生理盐水5ml、地佐辛0.05mg/kg和0.1mg/kg。诱导开始(T1)静脉注射舒芬太尼(0.5μg /kg),随后2min内观察并记录患者呛咳发生率、次数、心率、血压和脉搏氧饱和度。 结果D2组患者均未发生呛咳,与C组35人发生呛咳(轻度11.3%,中度12.5%,重度20%)和D1组32人发生呛咳(轻度13.8%,中度8.8%,重度17.5%)比较差异显著(P<0.01)。D1组和C组呛咳发生率和严重程度无明显差异(P>0.05)。 结论 预注0.1mg/kg地佐辛能安全有效地抑制舒芬太尼诱发的呛咳反应。

关键词: 舒芬太尼 呛咳 咳嗽 地佐辛
Abstract:

【Abstract】 Objective: We aimed to evaluate the efficacy of dezocine in preventing sufentanil-induced cough during induction of general anesthesia. Methods: Two hundred and forty patients(ASA I~II),aged 18~65,weighing 40~80kg, male or female, undergoing elective surgery were randomly divided into control group (group C) 、 dezocine group1 (group D1) and dezocine group 2 (group D2), 80 patients in each group. Patients in the control group and the study group(D1,D2) received 5ml 0.9% normal saline、dezocine at 0.05mg/kg and 0.1mg/kg 2 min prior to intravenous sufentanil (0.5 μg/kg).The incidence and severity of cough in patients were evaluated within 2 min after the injection of sufentanil in the anesthesia induction period. Result: No patient had cough in group D2, 35 patients in group C had cough(severity of cough:mild,11.3%;moderate,12.5%;severe,20%),and 32 patients in group D1 had cough(severity of cough:mild,13.8%;moderate,8.8%;severe,17.5%).The occurrence and reflex degree of cough in group D2 was significantly lower than that in group C and D1(P<0.01), while there was no significant difference between group C and group D1. Conclusion: The results of current study suggest that administration of Dezocine 0.1mg/kg may effectively prevent the sufentanil-induced bucking in our patients,and the hemodynamics were stale during general anesthesia induction.

Key words: sufentanil;bucking ;cough ;dezocine