期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

右美托咪啶复合罗哌卡因切口浸润对术后疼痛的影响 被引量：7

在线阅读 下载PDF
导出
摘要 目的观察右美托咪啶复合罗哌卡因切口浸润对开腹子宫切除术后疼痛的影响。方法将40例美国麻醉师协会（ASA）Ⅰ或Ⅱ级全麻下行开腹子宫切除患者随机分成两组：Ⅰ组：浸润药液为0．375％罗哌卡因30ml；Ⅱ组：浸润药液为2μg／kg右美托咪啶复合0．375％罗哌卡因共30ml。术后静脉给予帕瑞昔布及芬太尼镇痛。记录术后24h内患者视觉模拟评分法（VAS）评分、需要补救镇痛例数、补救镇痛芬太尼总量。结果Ⅱ组患者术后12h内静息、咳嗽VAS评分与Ⅰ组比较下降（P〈0．05）。24h内所需补救镇痛芬太尼总量，Ⅱ组患者与Ⅰ组比较显著下降（P〈0．01）。术后需要芬太尼镇痛的例数，Ⅱ组患者4例（20％）与Ⅰ组患者18例（90％）比较差异有显著性（P〈0．01）。结论开腹子宫切除术后，右美托咪啶复合罗哌卡因切口浸润，可提高镇痛效果，减少术后补救镇痛芬太尼的需要量。
作者 陆斌 郑圣舟 张序忠 陈利琼
机构地区 温州医科大学附属三院
出处 《浙江临床医学》 2015年第1期133-135,共3页 Zhejiang Clinical Medical Journal
关键词 右美托咪啶 镇痛 浸润 子宫切除术 罗哌卡因
分类号 R971 [医药卫生—药品]
  • 相关文献

参考文献8

  • 1White PF. The changing role of non-opioid anolgesic techniques in the management of postoperative pain. Anesth Analg,2005,101(5 Suppl):S5-S22.
  • 2Tilleul P,Aissou M,Bocquet F,et al. Cost-effectiveness alaalysis comparing epidural,patient-controlled intravenous morphine,and continuous wound infiltration for postoperative pain management after open abdominal surgery.Br J Anaesth,2012,108(6):998-1005.
  • 3Bharti N,Dontukurthy S,Bala I,et al.Postoperative analgesic effect of intravenotls (i.v.) clonidine compared with cloiaidine administration in wound infiltration for open cholecystectomy.Br J Anaesth,2013,111 (4):656-661.
  • 4Marhofer D,Kettner SC,Marhofer P,et al. Dexmedetomidine as anadjuvant to ropivacaine prolongs peripheral nerve block: a volunteer study. BrJ Anaesth,2013,110(3):438-442.
  • 5Liu SS,Wu CL. The effect of analgesic technique on postoperative patient reported outcomes including analgesia: a systematic review. Anesth Analg,2007,105 (3) :789-808.
  • 6Albi-Feldzer A,Mouret-Fourme E E,Hamouda S,et al. A double- blind randomized trial of wound and intercostal space infiltration with ropivacaine during breast cancer surgery: effects on chronic postoperativepain. Anesthesiology,2013,118(2):318-326.
  • 7Ducarme G,Sillou S,Wernet A,et al. Single-shot ropivacaine wound infiltration during cesarean section for postoperative pain relief. Gynecol Obstet Fertil,2012,40(1):10-13.
  • 8Tauzin-Fin P, Sesay M, Svartz L, et al. Wound infiltration with magnesium sulphate and ropivacaine mixture reduces postoperative tramadol requirements after radical prostatectomy. Acta Anaesthesiol Scand, 2009, 53(4):464-469.

同被引文献62

  • 1丁玲玲,张宏,米卫东,何艳,张旭,马鑫,李宏召.右美托咪啶对老年患者在机器人辅助腹腔镜手术麻醉苏醒期及术后认知功能的影响[J].中南大学学报（医学版）,2015,40(2):129-135. 被引量：64
  • 2Kim Y, Kim SY, Lee JS, et al. Effect of dexmedetomidine on the corrected QT and Tp-e intervals during spinal anesthesia[ J]. Yon- sei Med J, 2014,55(2) : 517-522.
  • 3Ziemann-Gimmel P, Goldfarb AA, Koppman J, et al. Opioid-free total intravenous anaesthesia reduces postoperative nausea and vomiting in bariatric surgery beyond triple prophylaxis [ J ]. Br J Anaesth, 2014,112 (5) :906-911.
  • 4Kim HS, Kim JW, Jang KT, et al. Initial experience with dexme- detomidine for dental sedation in children [ J ]. J Clin Pediatr Dent, 2013,38( 1 ) :79-81.
  • 5Belleville JP, Ward DS, Bloor BC, et al. Effects of intravenous dexmedetomidine in humans. I - Sedation, ventilation, and meta- bolic rate [ J ]. Anesthesiology, 2011,77 (6) : 1125-1133.
  • 6Mourisse J, Lerou J, Struys M, et al. Multi-level approach to an- aesthetic effects produced by sevoflurane or propofol in humans: 1. BIS and blink reflex [ J ]. Br J Anaesth, 2007,98 (6) :737- 745.
  • 7Sun L, Guo R, Sun L. Dexmedetomidine for preventing sevoflu- rane-related emergence agitation in children: a meta-analysis of randomized controlled trials [ J ]. Acta Anaesthesiol Scand, 2014,58(6) :642-650.
  • 8Chaitanya G, Arivazhagan A, Sinha S, et al. Dexmedetomidine anesthesia enhances spike generation during intra-operative electrocorticography: a promising adjunct for epilepsy surgery[J]. Epilepsy Res,2015,109(2):65-71.
  • 9Benmansour P, Husulak ML, Bracamonte JL, et al. Cardiopulmonary effects of an infusion of remifentanil or morphine in horses anesthetized with isoflurane and dexmedetomidine[J].Vet Anaesth Analg,2014,41(4):346-356.
  • 10荣健,黄绍洪,牛丽君,郭隽英,肖亮灿.右美托咪啶对胃肠手术患者全身麻醉诱导期的影响[J].中华普通外科学文献（电子版）,2010,4(4):35-37. 被引量：31

二级引证文献37

浙江临床医学
2015年 第1期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部