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目的寻求一种防治经皮肾穿刺碎石术(PCNL)术中寒战的有效方法。方法择期PCNL患者60例,随机分为AB两组,各30例。A组采用预热生理盐水灌注液,预热温度36~37℃,B组采用室温生理盐水灌注液。寒战达2~3级时静脉缓注曲马多1 mg/kg,B组2~3级寒战未缓解者改用预热生理盐水灌注液,更换湿手术铺巾。比较两组疗效。结果 A组寒战发生率明显低于B组(P<0.05),A组2~3级患者静脉缓注曲马多后寒战缓解,B组2~3级患者静脉缓注曲马多后,仍有11例寒战2~3级患者未缓解,改用预热生理盐水灌注液,更换手术铺巾后渐渐缓解。结论无论是术中灌注液预热,还是单用曲马多都不能很好的防治寒战,只有二者有效结合才能起到好的效果。
Objective To seek an effective method to prevent chills in percutaneous nephrolithotomy (PCNL). Methods Sixty patients with PCNL were randomly divided into two groups (AB, 30 cases each). Group A was pre-warmed saline perfusate, preheating temperature 36 ~ 37 ℃, B group using normal saline perfusion solution. Chills of up to 2 to 3 intravenous tramadol 1 mg / kg, B group 2 to 3 chills did not alleviate those who switch to warm saline perfusion solution, replace the wet operation shop towel. Compare the two groups curative effect. Results The cholera incidence in group A was significantly lower than that in group B (P <0.05). In group A, patients in groups 2 to 3 were relieved after intravenous administration of tramadol. In patients in group B, intravenous tramadol was administered intravenously in groups 2 to 3 There are 11 cases of chills 2 to 3 patients did not relieve, switch to warm saline perfusion solution, gradually replaced after the operation of the towel shop. Conclusion Whether intraoperative perfusate preheating, or tramadol alone can not be a good cholera war, only effective combination of the two can play a good effect.