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罗库溴铵在老年患者LC手术麻醉中的临床应用分析

李鄂安   

  1. 湖北省武汉市汉南区人民医院
  • 收稿日期:2015-12-31 修回日期:2016-02-21 出版日期:2016-04-25 发布日期:2016-04-25

Clinical Application of Rocuronium Bromide in Older Patients with Laparoscopic Cholecystectomy

  • Received:2015-12-31 Revised:2016-02-21 Online:2016-04-25 Published:2016-04-25

摘要: [摘 要]目的:本研究旨在探讨罗库溴铵应用于老年腹腔镜胆囊切除术(LC)患者麻醉效果的影响。方法:将89例实施LC手术治疗的患者随机分为研究组(45例)和对照组(44例)。研究组在麻醉中应用罗库溴铵,对照组应用注射用苯磺顺阿曲库铵,观察两组麻醉效果的差异。结果:给药后1、3、5、10 min研究组的组胺浓度值、心率(HR)值均显著的低于对照组患者(P<0.05),研究组给药后1、3、5、10min的平均动脉压(MAP)值显著的高于对照组(P<0.05);研究组患者的肌松起效时间(126.3?9.3)s显著的短于对照组的(194.5?11.0)s(P<0.05)、维持时间(49.2?6.9)min均显著的长于对照组的(32.8?6.3)min(P<0.05)。研究组的不良反应发生率8.89%显著的低于对照组的31.82%(P<0.05)。结论:罗库溴铵应用于老年LC手术患者不会增加组胺释放量,有利于减轻患者的手术不良反应,同时起效快、维持时间长,血流动力学稳定。

Abstract: [Abstract]Objective: To study the application of rocuronium in older patients with laparoscopic cholecystectomy (LC). Methods: 89 cases who intend to perform LC surgical treatment of liver and gallbladder surgery were randomly divided into two groups. 45 cases in the study group were given rocuronium injection, and the other 44 cases in the control group were given cisatracurium besilate injection. Results:1, 3, 5, 10 min histamine concentrations、 HR value after administration in study group was significantly lower than in control group (P<0.05), 1, 3, 5, 10 min MAP after administration in study group was significantly higher than in control group (P<0.05). The muscle relaxants onset time (126.3±9.3) s of patients in study group is significantly shorter than in control group (194.5±11.0) s (P<0.05). The duration (49.2±6.9) min in study group were significantly longer than in control group (32.8±6.3) min (P<0.05). The incidence of adverse events in study group (8.89%) was significantly lower than in control group(31.82%)(P<0.05). Conclusion: Rocuronium injection in elderly patients undergoing LC does not increase histamine release. It will reduce adverse reactions in patients with surgery, and provide with rapid onset, long duration, hemodynamic stability.