预防性静脉注射长托宁对急性阑尾炎患者术中寒战的影响

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Abstract Objective To investigate the effect of prophylactic intravenous Changtuoning on intraoperative chills in patients with acute appendicitis.Methods A total of 62 patients with acute appendicitis who underwent operation in our hospital from October 2015 to February 2017 were selected as research subjects.According to the time of admission,they were randomly divided into control group and observation group,31 cases in each group.Patients in the control group were anesthetized with intravenous Pethidine,and patients in the observation group were anesthetized with intravenous Penehyclidine Hydrochloride.The changes of vital signs like blood oxygen saturation(SpO2),mean arterial pressure (MAP),and heart rate (HR)before and after medication,the total incidence rate of chills and adverse reactions after medication were observed and compared between the two groups.Results There were no significant differences in SpO2,HR and MAP between the two groups before injection(P＞0.05).The SpO2at 5,10,15 and 20 min after injection of the drug in the control group was significantly lower than that before injection,and the differences were statistically significant(P＜0.05).The SpO2at 5,10,15 and 20 min after injection of the drug in the observation group was significantly higher than that in the control group,and the differences were statistically significant(P＜0.05).There were no significant differences in HR and MAP between the two groups at 5,10,15 and 20 min after injection(P＞0.05).The total incidence rate of chills in the observation group was 6.45%,which was significantly lower than that in the control group(22.58%),and the difference was statistically significant(P＜0.05).The total incidence rate of adverse reactions in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The intravenous injection of Penehyclidine Hydrochloride can prevent the occurrence of chills in patients with acute appendicitis,and has no effect on the temperature,HR and blood pressure of patients,which is worthy of clinical promotion.

Key words： Acute appendicitis Intraoperative Penehyclidine Hydrochloride Pethidine Chills

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	QIU Yong
	LUO Zhi-yong
	FU Yun-juan

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QIU Yong,LUO Zhi-yong,FU Yun-juan. Effect of prophylactic intravenous Changtuoning on intraoperative chills in patients with acute appendicitis[J]. 中国当代医药, 2019, 26(8): 141-143.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I8/141

[1]	罗爽爽，严爵基，陈灿.右美托咪定防治椎管内麻醉后寒战的研究进展[J].中国当代医药，2016，23（2）：21-23.
[2]	文建，胡啸玲.麻醉后寒战防治研究进展[J].中南医学科学杂志，2014，42（6）：626-629.
[3]	柯宗兴.全身麻醉术后寒战的研究进展[J].现代医院，2016，16（11）：1606-1608.
[4]	孟谦.盐酸戊乙奎醚对腹腔镜手术病人呼吸力学的影响[J].山东医学高等专科学校学报，2017，39（4）：281-284.
[5]	佟丽君.尿常规检验和超声技术诊断小儿急性阑尾炎的应用效果分析[J].中国当代医药，2017，24（3）：140-142.
[6]	怀昌，汪懿，陈永权，等.右美托咪啶对椎管内麻醉后寒战的预防效果评价[J].山东医药，2015，55（39）：66-68.
[7]	朱儒红.全身麻醉苏醒期患者寒战的护理干预[J].检验医学与临床，2015，12（3）：424-425.
[8]	刘东辉，李耀荣，余镇佳，等.右美托咪啶辅助麻醉下肺癌根治术患者麻醉后寒战的发生[J].北方药学，2015，12（5）：69.
[9]	薛莹.围手术期低体温防治的研究进展[J].护士进修杂志，2015，30（21）：1938-1941.
[10]	王茂林，郭金丽，石秀红.椎管内麻醉后寒战的影响因素及临床治疗分析[J].临床医学研究与实践，2017，2（19）：95-96.
[11]	李桂凤，陈洪飞，陆慧红，等.急性阑尾炎患者术中寒战的临床研究[J].同济大学学报（医学版），2015，36（6）：82-87.
[12]	刘冬俊.长托宁联合托烷司琼预防腹腔镜全麻术后恶心呕吐的效果观察[J].现代中西医结合杂志，2016，25（26）：2953-2955.
[13]	龚建平，梁秀生.长托宁在老年ERCP麻醉前用药的临床观察[J].中国医学创新，2014，11（6）：107-109.
[14]	张立群.长托宁辅助全身麻醉对老年患者术后认知功能的影响[J].西北国防医学杂志，2016，37（4）：268-269.
[15]	舒雅，赵俊莺，韩彬，等.长托宁预处理预防依托咪酯全身麻醉诱导后肌阵挛的临床研究[J].陕西医学杂志，2014，43（4）：451-452.
[16]	廖生根，李坤，张桂华.长托宁对老年骨科全身麻醉患者术后认知功能障碍的影响[J].中国当代医药，2017，24（35）：110-112.