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

静脉注射帕瑞昔布钠预防SLIPA喉罩引发咽喉不适的临床研究

暂未订购
导出
摘要 目的研究麻醉诱导前30min静脉注射帕瑞昔布钠减轻SLIPA喉罩引发全麻患者术后咽喉部不适的有效性。方法 120例ASAⅠ或Ⅱ级,择期全麻下手术的成年患者随机分为观察组和对照组,每组60例。Ⅰ组麻醉诱导前30min静脉注射4ml 0.9%氯化钠溶液,Ⅱ组麻醉诱导前30min静脉注射4ml(40mg)帕瑞昔布钠。对2组SLIPA喉罩放置时间、放置次数、拔出喉罩表面是否有血迹、术后咽喉部不适的发生率及不适程度等方面进行评价。结果 2组患者术后主要并发症均为咽痛,Ⅱ组患者咽痛发生率(25%)明显低于Ⅰ组(45%)(P<0.05),且其咽痛的VAS评分明显低于Ⅰ组患者(P<0.01)。结论麻醉诱导前30min静脉注射帕瑞昔布钠40 mg可降低SLIPA喉罩引发全麻患者术后咽喉部不适的发生率,且能减轻咽喉部不适的程度,值得临床推广应用。
作者 张涛 宋华勇 梁建国 王芳 张光信
机构地区 河北省邯郸市第一医院麻醉科
出处 《河北医药》 CAS 2012年第20期3073-3074,共2页 Hebei Medical Journal
关键词 SLIPA喉罩 全身麻醉 帕瑞昔布钠 咽喉部并发症
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献10

  • 1Lange M,Smul T,Zimermann P,et al. The effectiveness and patient com-fort of the novel streamlined pharynx airway liner ( SLIPA ) compared withthe conventional lryngeal mask airway in ophthalmic surgery. AnesthAnalg,2007,104:431^34.
  • 2Miller DM, Camporota L. Advantages of ProSeal and SLIPA airways overtracheal tubes for gynecological laparoscopies. Can J Anaesth, 2006,53 :188-193.
  • 3Brimacombe J, Clarke G, Keller C. Lingual nerve injury associated withthe ProSeal laryngeal mask airway: a case report and review of the litera-ture. Br J Anaesth,2005 ,95 :420-423.
  • 4Yun MC,Su MC,Kang H,et al. The clinical effectiveness of the stream-lined liner of pharyngeal airway ( SLIP ATM) compared with the laryngealmask airway ProSeal TM during general anesthesia. Korean J Anesthesiol,2010,5B:450^57.
  • 5谢颖,魏新川.SLIPA喉罩两种放置方法的效果[J].临床麻醉学杂志,2010,26(9):777-779. 被引量：24
  • 6Maino P,Dullenkopf A,Bemet V,et al. Nitrous oxide diffusion into thecuffs of disposable laryngeal mask airways. Anaesthesia, 2005 ,60 : 278-282.
  • 7Lloyd R,Derry S,Moore RA,et al. Intravenous or intramuscular parecoxibfor acute postoperative pain in adults. Cochrane Database Syst Rev,2009,15:47.
  • 8张志刚,廖小卒,李斌飞,程周,张培才,文静,邹雪霞.帕瑞昔布钠超前镇痛在异丙酚和瑞芬太尼靶控输注中的临床应用[J].河北医药,2011,33(23):3536-3538. 被引量：5
  • 9吴新民,岳云,张利萍,王俊科,艾登滨,于布为,薛张纲,黄文起.术后镇痛中帕瑞昔布钠对吗啡用量的节俭作用和安全性—前瞻性、多中心、随机、双盲、安慰剂对照、平行分组研究[J].中华麻醉学杂志,2007,27(1):7-10. 被引量：368
  • 10Woolf CJ, Chong MS. Preemptive analgesia : treating postoperative painby preventing the establishment of central sensitization. Anesth Analg,1993,77:362-379.

二级参考文献27

  • 1邓立琴,丁风兰,刘红.全麻术后躁动225例分析[J].实用医学杂志,2006,22(2):165-167. 被引量：292
  • 2Lange M,Smul T.Zimermann P,et al.The effectiveness and patient comfort of the novel streamlined pharynx airway liner (SLIPA) compared with the conventional lryngeal mask airway in ophthalmic surgery.Anesth Analg,2007,104:431-434.
  • 3Miller DM,Camporota L.Advantages of ProSeal and SLIPA airways over tracheal tubes for gynecological laparoscopies.Can J Anaesth,2006,53:188-193.
  • 4Hein C,Plummer J,Owen H.Evaluation of the SLIPA (streamlined liner of the pharynx airway),a single use supaglottic airway device,in 60 anaesthetized patients undergoing minor surgical procedures.Anaesth Intensive Care,2005,33:756-761.
  • 5Hein C,Owen H,Plummer J.Randomized comparison of the SLIPA (streamlined liner of the pharynx airway) and the SSLM (soft seal laryngeal mask) by medical students.Emerg Med Australas,2006,18:478-483.
  • 6Reuben SS, Ekman EF, Raghunathan K, et al. The effect of yclooxy-Ge- nase-2 inhibition on acute and chronic donorsite pain after spinalfusion surgery. Reg Anesth painMed,2006,31:6-13.
  • 7Ghai B, Makkar JK, Bala I, et al. Effect of parecoxib pretreatment and venous occlusion on propofol injection pain : a prospective, randomized, double-blinded, placebo-controlled study. Clin Anesth,2010,22 : 88-92.
  • 8Neuss H, Koplin G, Haase O. Preemptive analgesia reduces pain after radical axillary lymph node dissection. J Surg Res,2010,62:88-94.
  • 9Martinez V, Belbachir A,Jaber A. The influence of timing of administra- tion On the analgesic efficacy of parecoxib in orthopedic surgery. Anesth Analg,2007,104 : 1521-1527.
  • 10Elliott PO, Hare R, Bill KM, et al. Severe cardiovascular depres-sion withremifentanil. Aesth Analg,2000,91:58-61.

共引文献393

河北医药
2012年 第20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