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吸入麻醉、全静脉麻醉和静吸复合麻醉对长时间显微神经外科手术麻醉苏醒期的影响对比研究
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作者 孙东江 《世界复合医学》 2020年第9期98-101,共4页
目的分析吸入麻醉、全静脉麻醉和静吸复合麻醉对长时间显微神经外科手术麻醉苏醒期的影响。方法选取于2017年9月—2019年9月来该院诊治的显微神经外科手术患者123例作为研究对象,采用随机分配的方式将其分为A组、B组和C组,每组患者41例,... 目的分析吸入麻醉、全静脉麻醉和静吸复合麻醉对长时间显微神经外科手术麻醉苏醒期的影响。方法选取于2017年9月—2019年9月来该院诊治的显微神经外科手术患者123例作为研究对象,采用随机分配的方式将其分为A组、B组和C组,每组患者41例,A组患者采用静吸复合麻醉,B组患者采用全静脉麻醉,C组患者采用吸入麻醉,对比3组患者的最终麻醉效果。结果对比3组患者术后恢复情况、血流动力学变化以及临床指标评分,A组治疗成效更佳,差异有统计学意义(P<0.05)。在实验结果中,A、B、C 3组均有不同程度的不良反应发生状况,A组不良反应发生总概率为7.31%,B组患者不良反应发生总概率为21.95%,C组患者的不良反应发生总概率为31.70%。3组对比差异有统计学意义(χ^2=4.577,P<0.05)。结论显微神经外科手术患者应用静吸复合麻醉效果更佳,能够有效改善患者的相关临床指标与术后恢复情况。 展开更多
关键词 吸入麻 全静脉麻 静吸复合麻 长时间显微神经外科手术 醉苏醒期
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Effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery 被引量:4
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作者 陆伟钰 沈娟芬 +2 位作者 沈丽萍 朱建芬 贾一凡 《Journal of Acupuncture and Tuina Science》 CSCD 2018年第5期343-348,共6页
Objective:To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.Methods:A tota... Objective:To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.Methods:A total of 120 patients undergoing nasal endoscopic surgery were included,and all patients were under trachea intubation and general anesthesia.The patients were randomized into an observation group and a control group,with 60 patients in each group.Patients in the control group received conventional anesthesia resuscitation,while patients in the observation group received acupoint massage plus acupoint sticking therapy on the basis of conventional anesthesia resuscitation.Changes in the heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP) were observed at three time points including the end of the surgery (TO),the removal of the tracheal tube (T1) and 10 min after the removal of the tracheal tube (T2).The awakening and tube removal time,choking cough and restlessness,and adverse reactions (dizziness,nausea and vomiting) in 24 h post-surgery period were compared.Results:At T1 and T2,the comparisons of HR,SBP and DBP between the two groups showed statistical significance (all P<0.05).Intra-group comparisons showed that the HR,SBP and DBP of the control group at T1 and T2 were significant different from those at TO (all P<0.05).There were significant differences in the awakening time and tube removal time between the two groups (both P<0.05).The incidences of choking cough and restlessness were 8.3% and 3.3% respectively in the observation group,versus 53.3% and 30.0% in the control group,and the between-group comparisons showed statistical significance (both P<0.05).The incidences of dizziness,nausea and vomiting in 24 h post-surgery period were 3.3%,5.0% and 0.0% respectively in the observation group,versus 43.3%,33.3% and 25.0% in the control group,and the between-group comparisons showed statistical significance (all P<0.05).Conclusion:Acupoint massage plus acupoint sticking therapy can effectively regulate the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery,and maintain a stable internal environment. 展开更多
关键词 TUINA MASSAGE Acupoint Sticking Therapy Nasal Surgical Procedures Anesthesia Recovery Period Anesthesia General Drug-related Side Effects and Adverse Reaction
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