首页|盐酸纳布啡对全身麻醉诱导期舒芬太尼诱发咳嗽的预防效果及对血流动力学的影响

盐酸纳布啡对全身麻醉诱导期舒芬太尼诱发咳嗽的预防效果及对血流动力学的影响

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目的:探讨盐酸纳布啡预防全身麻醉诱导期舒芬太尼诱发咳嗽的临床效果。方法:选取 2021 年 6 月—2022 年12月谷城县人民医院实施全身麻醉手术患者96例作为研究对象,按随机数字表法分为对照组、观察组,各48例。对照组全身麻醉诱导前静脉滴注 0。9%生理盐水,观察组全身麻醉诱导前静脉滴注盐酸纳布啡,比较两组咳嗽发生情况、血流动力学及不良反应。结果:观察组咳嗽发生率为 6。25%,低于对照组的 29。17%(P<0。05)。观察组各时点心率(HR)、平均动脉压(MAP)比较,差异无统计学意义(P>0。05);对照组舒芬太尼给药 2 min后(T1)HR、MAP与同时点观察组及本组入手术室时(T0)、气管插管即刻(T2)比较,差异有统计学意义(P<0。05);观察组不良反应发生率与对照组比较,差异无统计学意义(P>0。05)。结论:盐酸纳布啡能有效预防全身麻醉诱导期舒芬太尼诱发咳嗽,保持患者血流动力学稳定,且不明显增加不良反应。
Preventive Effect of Nalbuphine Hydrochloride on Cough Induced by Sufentanil During Induction of General Anesthesia and its Effect on Hemodynamics
Objective:To explore the clinical effect of nabuprofen hydrochloride in preventing cough induced by sufentanil during the induction period of general anesthesia.Methods:A total of 96 patients undergoing general anesthesia in Gucheng County People's Hospital from June 2021 to December 2022 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 48 cases in each group.The control group was given intravenous infusion of 0.9%normal saline before induction of general anesthesia,and the observation group was given intravenous infusion of nalbuphine hydrochloride before induction of general anesthesia.The incidence of cough,hemodynamics and adverse reactions were compared between the two groups.Results:The incidence of cough in the observation group was 6.25%,which was lower than 29.17%in the control group(P<0.05).There was no significant difference in heart rate(HR)and mean arterial pressure(MAP)at each time point in the observation group(P>0.05).The HR and MAP at 2 min after sufentanil administration(T1)in the control group were significantly different from those in the observation group at the same time point and at the time of entering the operating room(T0)and tracheal intubation(T2)(P<0.05).There was no significant difference in the incidence of adverse reactions between the observation group and the control group(P>0.05).Conclusion:Nabuphine hydrochloride can effectively prevent sufentanil induced cough during the induction period of general anesthesia,maintain patient hemodynamic stability,and do not significantly increase adverse reactions.

Anesthesia inductionSufentanilCoughHemodynamicsNabuphine hydrochloride

孙阳、郭兴刚

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谷城县人民医院,湖北 谷城 441700

麻醉诱导 舒芬太尼 咳嗽 血流动力学 盐酸纳布啡

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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