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常温贮存下罗库溴铵在妇科腹腔镜手术中肌松效应观察

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目的 探讨常温贮存下罗库溴铵对妇科腹腔镜手术中肌松效应的影响。方法 选取2022年2-8月在深圳市龙岗中心医院行腹腔镜妇科手术的全身麻醉患者120例进行研究。以随机信封法将患者分为两组,每组各60例。观察组罗库溴铵贮存于手术室自然环境,对照组置于医用冰箱冷藏室。比较两组肌松效应指标、气管插管条件、增药时间及增药量。结果 两组患者肌松效应起效时间、完全肌松时间、有效肌松时间及T1恢复至75%时间比较,差异均无统计学意义(P>0。05)。观察组气管插管条件优良率为96。67%,与对照组的98。33%比较,差异无统计学意义(P>0。05)。两组患者第一次增药时间、第一次增药量、第二次增药时间、第二次增药量比较,差异均无统计学意义(P>0。05)。结论 常温贮存下罗库溴铵与低温储存在妇科腹腔镜手术中的肌松效应无显著性差异,且对气管插管质量与增药时间、增药量均无明显影响。
Observation on the muscle relaxation effect of rocuronium bromide stored at room temperature in gynecological laparoscopic surgery
Objective To investigate the effect of rocuronium bromide on the muscarinic effect in gynaecological laparoscopic surgery under room temperature storage.Methods One hundred and twenty general anaesthesia patients who underwent laparoscopic gynaecological surgery in Longgang District Central Hospital of Shenzhen from February to August 2022 were selected for the study.The patients were divided into two groups by the random envelope method,with 60 cases in each group.The storage of rocuronium bromide in the observation group was in the natural environment of the operating theatre;the control group was placed in the cold room of the medical refrigerator.The two groups were compared in terms of indicators of muscarinic effect,endotracheal intubation conditions,time of drug increment,and amount of drug increment.Results The differences in the time of onset of myorelaxation effect,the time of complete myorelaxation,the time of effective relaxation and the time of recovery of 75%of T1 were not statistically significant between the two groups(P>0.05).The excellent rate of tracheal intubation conditions in the observation group was 96.67%,and the difference was not statistically significant when compared with 98.33%in the control group(P>0.05).Comparing the time of the first drug increment,the amount of the first drug increment,the time of the second drug increment,and the amount of the second drug increment in the two groups,the differences were not statistically significant(P>0.05).Conclusion There was no significant difference between the muscarinic effect of rocuronium bromide stored at ambient temperature and stored at low temperature in gynaecological laparoscopy,and there was no significant effect on the quality of endotracheal intubation with respect to the time of incremental increase and the amount of incremental increase.

Rocuronium bromideRoom temperatureGynecologyLaparoscopyMuscle relaxation effect

黄鹏健、彭好嫒、张向荣、彭小敏、段军杰、廖霖

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深圳市龙岗中心医院麻醉科,广东深圳 518000

罗库溴铵 常温贮存 妇科 腹腔镜 肌松效应

深圳市龙岗区医疗卫生科技计划项目

LGWJ2021-8

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(8)
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