首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (2): 255-257.

• 临床研究 • 上一篇    下一篇

丙泊酚不良反应的多中心和大样本调查

张利勇, 王威, 王保国   

  1. 首都医科大学附属北京天坛医院麻醉科
  • 收稿日期:2005-02-25 修回日期:1900-01-01 出版日期:2006-04-24 发布日期:2006-04-24

The Incidence of Adverse Effects of Propofol: A Prospective, Large Sample and Multi-center Epidemiological Study

Zhang Liyong, Wang Wei, Wang Baoguo   

  1. Department of Anesthesiology, Beijing Tiantan Hospital, Capital University of Medical Sciences
  • Received:2005-02-25 Revised:1900-01-01 Online:2006-04-24 Published:2006-04-24

摘要: 目的 对10 680例患者使用丙泊酚注射液(静安注射液)全麻诱导期间不良反应的发生率进行了前瞻性、多中心调查.方法 全麻下择期手术的病人,术前未用药.以0.2 mL/s的速度静脉注射丙泊酚,从开始注药至患者神智消失前,每间隔5~10 s评测患者注射侧肢体有无疼痛反应及疼痛程度,同时观察记录兴奋、躁动的情况.结果 对10 680例患者进行疼痛评分,其中无注射痛者6 398例,轻度注射痛者3 871例,中度注射痛者341例,重度注射痛者70例,疼痛发生率为40.09%;男性与女性疼痛的出现率分别为39.07%和40.59%(P=0.124);上肢和下肢注射痛发生率分别为57.6%和59.3%(P=0.468).观察了7815例患者躁动情况,未出现躁动者7 099例;出现者为716例,出现率为9.2%.对7 192例患者观察了多语情况,出现多语者1 68例,出现率为2.3%.结论 注射痛是丙泊酚在麻醉诱导时最常见的不良反应,虽然中、重度疼痛的发生率较低,但仍应该采取预防措施.

关键词: 丙泊酚, 不良反应, 注射, 疼痛

Abstract: Objective To investigate the incidence of adverse effects of propofol in large samples and multi-center epidemiological study.Methods The patients without premedication were induced with propofol at 0.2 mL/s with peripheral venous injection.The pain evaluation was performed every 5~100s and restlessness and talkative were investigated until the patients losing consciousness.Results 10 680 questionnaires that recorded pain scale were received.The incidence of mild injection pain was 36.25%,moderate pain was(3.19)%,and severity pain was 0.66%.The total incidence of injection pain was 40.09%.The incidences of pain were not significantly different between male and female((P=0.124)),or between venous injection from upper limb and lower limb(P=0.468).7 815 questionnaires that surveyed restlessness and 7 192 questionnaires that surveyed talkative were received.The number of patients' occurrence restlessness and talkative were 716 and 168,respectively.The incidence of restlessness and talkative was 9.2% and(2.3)%,respectively.Conclusion Injection pain is the most common adverse.The incidence of injection pain of propofol 1% fresenius injection was 40.09%.Some measures should be taken to prevent the injection pain.

Key words: propofol, side effect, injection, pain

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