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长托宁在颈、颌面部肿瘤手术前应用的临床观察

The Clinical Application of Penehyclidine Hydrochloride on the Neck and Maxillofacial Tumor before Operation

  • 摘要: 目的 观察长托宁在颈、颌面部肿瘤手术前应用对腺体分泌的临床效果。方法 选择60例颈、颌面部肿瘤手术患者,术前30min肌注长托宁1mg。常规气管插管全身麻醉。观察插管、拔管及术后患者口腔、上呼吸道分泌物量及镇静作用。结果 插管、拔管时患者口腔、上呼吸道分泌物均减少,其中48例气管插管时口腔无明显分泌物;54例术毕气管拔管时口腔分泌物明显减少。麻醉苏醒时大部分病人较安静,无明显烦躁。术后不需追加抗胆碱药,90%患者不需追加镇静药。结论 长托宁对M受体的亚型具有高度选择性、强大的腺体抑制作用和一定的中枢镇静作用,更适用颈、颌面部肿瘤手术患者术前用药。

     

    Abstract: Objective  To evaluate the effect of Penehyclidine hydrochloride on patients under going the tumor operation of neck and maxilla. Methods  60 patient s with tumor of neck or maxilla were muscle injection 1mg of Penehyclidine hydrochloride 30 min before general anesthesia . To observing the amount of secretion of oral cavity and upper respiratory tract and sedation effect in the process inserting and pulling out t rachea or in the ICU. Results  In the process of inserting t rachea through anesthesia, keeping anesthesia and consciousness, it had strong effect of secretion inhibition and central sedation. The secretion of oral and upper respiratory tract reduced obviously in ICU . 90 % of the patient s did not need to be given sedative. Conclusion  Penehyclidine hydrochloride has st rong on secretion inhibition and cent ral sedation. Is is a better choice to be used in the tumor operation of neck and maxilla.

     

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