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琥珀胆碱诱导性肌颤可导致术后肌痛。本文选择 50例 ASA ～ 级择期手术病人 ;使用硫贲妥钠、芬太尼和琥珀胆碱行快诱导气管插管全静脉复合麻醉。根据肌颤强度 ( 0～ 级 )自然分为 4个实验组 ( A:n=9,B:n=2 4 ,C:n=13,D:n=4 )。术后肌痛分为无、轻、中和重度。观察诱导性肌颤的影响因素及肌颤强度与术后肌痛之间的关系。结果显示 :肌颤强度与术前血钾浓度有明显相关性 ( r=0 .814) ;各组术后肌痛发生率无明显差异 ( P>0 .0 5 ) ;各组不同程度肌痛发生率的构成比亦无显著差异 (x2 =1 .39,P>0 .0 5 )。说明术前血钾可影响肌颤的强度 ;琥珀胆碱虽可导致术后肌痛 ,但肌颤强度与术后肌痛无关。
Succinylcholine-induced muscle fibrillation can lead to postoperative myalgia. In this study, 50 ASA-stage elective surgery patients were selected. Thiopentan sodium, fentanyl and succinylcholine were used to induce intratracheal total-vein anesthesia. According to muscle strength (0 ~ grade) naturally divided into four experimental groups (A: n = 9, B: n = 2 4, C: n = 13, D: n = 4). Myalgia after surgery is divided into no, light, moderate and severe. To observe the influencing factors of induced muscle fibrillation and the relationship between muscle strength and postoperative muscle ache. The results showed that there was a significant correlation between muscle strength and preoperative serum potassium concentration (r = 0. 814). There was no significant difference in postoperative myalgia between the two groups (P> 0.05) There was no significant difference in the proportions of incidence (x2 = 1.39, P> 0.05). Preoperative serum potassium can affect the strength of muscle fibrillation; succinylcholine may lead to postoperative muscle pain, but the muscle strength and postoperative myalgia had nothing to do.