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舒更葡糖钠对罗库溴铵拮抗反应性的临床研究(1)
http://www.100md.com 2020年2月1日 《中外女性健康研究》 20203
     【摘 要】 目的:觀察舒更葡糖钠在腹腔镜袖状胃切除术中对罗库溴铵拮抗反应性。方法:选择在本院择期行腹腔镜袖状胃切除术的20例患者作为研究对象,分为舒更葡糖钠组(S组)与新斯的明(N组),每组10例。记录患者的动脉压、心率变化情况。结果:N组给药后1min、5min的平均动脉压显著高于给药前1min和S组(P<0.05),N组给药后1min、5min的心率显著高于给药前1min和S组(P<0.05)。S组的肌松恢复时间显著少于N组(P<0.05)。结论:舒更葡糖钠能快速逆转罗库溴铵的神经肌肉阻滞作用,有利于腹腔镜袖状胃切除围手术期的血压与心率维持稳定。

    【关键词】 舒更葡糖钠;罗库溴铵;腹腔镜袖状胃切除术

    Clinical study on the antagonistic reaction of sugammadex sodium to rocuronium

    Feng Feng,Jiang Lihua*

    The Third Affiliated Hospital of Zhengzhou University,Zhengzhou, Henan 450052

    [Abstract] Objective:To observe the antagonistic reaction of sugammadex sodium on rocuronium in laparoscopic sleeve gastrectomy. 20 patients who underwent laparoscopic sleeve gastrectomy in our hospital were divided into two groups: sugammadex sodium group (group S) andneostigmine group (group N). The changes of arterial pressure and heart rate were recorded. Results: The mean arterial pressure at 1 and 5 minutes after administration in group N was significantly higher than that in group S and 1 minute before administration (P<0.05). The heart rate at 1 and 5 minutes after administration in group N was significantly higher than that of group S and 1 minute before administration (P<0.05). The recovery time of muscle relaxation in group S was significantly shorter than that in group N (P<0.05). Conclusion: Sugammadex sodium can quickly reverse the neuromuscular blocking effect of rocuronium, which is beneficial to maintain the stability of blood pressure and heart rate during laparoscopic sleeve gastrectomy.

    [Key words]Sugammadex sodium; Rocuronium; Laparoscopic sleeve gastrectomy, 百拇医药(冯锋 姜丽华)
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