预注小剂量罗库溴铵在MECT中的应用
Application of pre injection of low dose rocuronium in MECT
陈浩琪 1张勇 1江斌 1郭俊芳1
作者信息
- 1. 海宁市第四人民医院麻醉科,浙江嘉兴314411
- 折叠
摘要
目的 探讨预注小剂量罗库溴铵在无抽搐电休克治疗(MECT)中使用的患者的生命体征改变,血钾变化,术后舒适度变化.方法 选取2014年6月~2016年6月于海宁市第四人民医院进行MECT的患者200例,按随机数字表法分为试验组和对照组,每组各100例.比较分析预注小剂量罗库溴铵对患者生命体征,不良反应情况.结果 试验组患者术后咽反射恢复时间,意识恢复,出室时间等情况与对照组比较,差异无统计学意义.试验组患者术后自主呼吸恢复早于对照组,差异有统计意义(P<0.05);2组不良反应(头痛,嗜睡,术后烦躁)与对照组比较,差异无统计学意义.试验组患者术后肌肉痛发生率明显低于对照组,差异有统计意义(P<0.05).结论 预注小剂量罗库溴铵能降低患者血钾增高程度,缩短患者恢复自主呼吸的时间,降低术后肌肉酸痛的发生率.相对常规MECT方法能减少MECT治疗的禁忌范围,增加术后患者的舒适度等优点.
Abstract
Objective To investigate the changes of vital signs, serum potassium and postoperative comfort of patients treated with MECT in the treatment of low-dose rocuronium.Methods 200 patients with MECT from June 2014 to June 2016 were selected and randomly divided into two groups, and the life signs and adverse reactions were analyzed and compared.Results There was no significant difference between the experimental group and the control group in the recovery time, the recovery time and the recovery time of the pharyngeal reflex.The recovery of spontaneous respiration in the experimental group was earlier than that in the control group, and the difference was statistically significant ( P<0.05 ) .There was no significant difference between the two groups (headache, drowsiness, postoperative irritability) compared with the control group, the incidence of muscle pain in the experimental group was significantly lower than that in the control group, the difference was statistically significant (P<0.05).Conclusion Pre-injection of rocuronium can reduce the level of serum potassium, shorten the recovery time of spontaneous breathing, and reduce the incidence of postoperative muscle soreness.Compared with the conventional MECT method, it can reduce the contraindication of MECT treatment and increase the comfort of patients.
关键词
小剂量罗库溴铵/MECT/血钾/术后肌肉酸痛Key words
low dose rocuronium/MECT/serum potassium/postoperative muscle soreness引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据