地佐辛在妇科腹腔镜术后全麻复苏期躁动患者中的应用观察

Dezocine in Gynecological Laparoscopic Surgery after General Anesthesia Recovery Period Observation of Patients with Restlessness

目的：观察地佐辛在妇科腹腔镜手术后麻醉复苏期严重躁动患者镇痛镇静的效果。方法：观察我院2014年8月至2015年8月间妇科腹腔镜手术210例,选择ASAⅠ~Ⅱ级,择期行妇科腹腔镜完成相应手术的患者,均采用气管插管静吸复合麻醉,术后转入ICU（PACU）即刻根据ICU镇静镇痛指南评分标准对患者进行视觉模拟评分（VAS）、镇静程度评分（Ramesy）、苏醒期躁动评分（RS）,根据不同评分情况：分A、B、C三组,A组患者予地佐辛5mg;B组严重躁动伴寒颤者予地佐辛10mg;C组患者不予地佐辛。结果：A组患者60分钟可转出PACU,B组患者80-90分钟可转出PACU,C组患者70-80分钟可转出PACU。结论：地佐辛用于妇科腹腔镜术后麻醉恢复期躁动患者镇痛、镇静治疗效果确切可靠,患者血流动力学变化影响在可控制安全范围内。

Objective To observe the effect of dezocine in gynecological laparoscopic operation after anesthesia recovery period in patients with severe agitation sedation. Methods： Observation of 210 cases of gynecological laparoscopic surgery between August 2015 and August 2014 in our hospital. The patients who underwent laparoscopic surgery with ASA I to II grade were selected to have a combined anesthesia with tracheal intubation. The visual analogue scale（VAS）, sedation score（Ramesy）, and recovery restlessness score（RS） were performed in the patients who were transferred to the ICU. According to the different scores, The patients were divided in to A,B,C three groups.Patients in group A were given dezocine 5 mg; Pationts in group B with severe agitation with chills were given dezocine 10 mg; Patients in group C were not dezocine. Results： Patients in A group for 60 minutes were turn out PACU. Patients in B group with 80-90 minutes were turn out PACU, Patients in C group 70-80 minutes can be transferred out PACU.Conclusion：Dezocine for gynecologic laparoscopic surgery after anesthesia recovery period restlessness in analgesia and sedation effect is reliable, the changes of hemodynamics in patients were within a safe range.