咪达唑仑伍用布托啡诺在腹部手术硬膜外麻醉中的临床观察

The clinical observation of Midazolam and butorphanol on epidural anesthesia in abdominal surgery

目的观察咪达唑仑伍用布托啡诺在腹部手术硬膜外麻醉中的效果。方法下腹部择期手术患者60例,ASAⅠ～Ⅱ级,随机分为2组,Ⅰ组硬膜外麻醉时给予氟哌利多和芬太尼,Ⅱ组给予咪达唑仑和布托啡诺,每组30例,全程观察患者血压、心率、呼吸频率、血氧饱和度、镇静效果及术中的不良反应。结果Ⅱ组镇静效果、对抗内脏牵拉反应程度及顺性行遗忘明显优于Ⅰ组(P<0.05)。结论咪达唑仑伍用布托啡诺辅用于硬膜外麻醉效果明显,不良反应轻,能够减少对手术的不良记忆和提高麻醉满意率。

Objective To observe the effect of Midazolam butorphanol epidural anesthesia in abdominal surgery.Methods Sixty cases of patients,ASA statusⅠorⅡ,and randomly divided into two group：fluorine（I group） and Midazolam butorphanol（Ⅱ group）.Each group of 30 cases,fully observed the patient＇s blood pressure,heart rate,breathing rate and blood oxygen saturation,sedation effects and adverse surgery reactions.Results Ⅱ group sedation effect,against visceral traction reaction and anterograde amnesia were significantly better than I group（P〈0.05）.Conclusion Midazolam butorphanol assisted epidural anesthesia has obvious effect and adverse reactions that can reduce the negative memories and improve surgical anesthesia satisfaction rate.