首页|不同剂量右美托咪定复合全麻对患者苏醒质量及血流动力学的影响

不同剂量右美托咪定复合全麻对患者苏醒质量及血流动力学的影响

扫码查看
目的:分析选择不同剂量右美托咪定复合全麻的效果.方法:选取本院2020 年 9 月至2022 年 8 月行右美托咪定复合全麻患者 82 例为研究对象,将静脉泵入剂量 5μg/kg纳入低剂量组,静脉泵入剂量 1.0 μg/kg纳入高剂量组,每组各41 例;对两组患者苏醒指标、血流动力学指标进行比较.结果:高剂量组唤醒睁眼时间较低剂量组耗时更长,拔管时间更短,疼痛及镇静评分更低(P<0.05);T0 时,组间心率(HR)、收缩压(DBP)、舒张压(SBP)、平均动脉压(MAP)等指标比较无差别(P>0.05);T1、T2 时,组间比较差异明显(P<0.05),而较T0 时,低剂量组无明显变化(P>0.05),高剂量组变化显著(P<0.05);T3 时,组间比较,与T0 时比较均无差异意义(P>0.05),而与T1、T2 比较,高剂量组差异明显(P<0.05),低剂量组无差异意义(P>0.05).结论:较高剂量组而言,低剂量更有助于患者咽喉反射恢复,提高其苏醒质量,且对血流动力学的影响更小,值得推广.
Effects of different doses of dexmedetomidine combined with general anesthesia on recovery quality and hemodynamics of patients
Objective:To evaluate the clinical efficacy of different doses of dexmedetomidine combined with general anesthesia.Methods:82 patients who underwent dexmedetomidine combined anesthesia in our hospital from September 2020 to August 2022 were selected as the study subjects,and a intravenous infusion dose of 5 was administered μg/kg included in the low-dose group,intravenous pump dose 1.0 μg/kg was in-cluded in the high-dose group,with 41 cases in each group.The awakening indicators and hemodynamic indi-cators between two groups were compared.Results:The high-dose group had a longer awakening time,shor-ter extubation time,and lower pain and sedation scores compared to the low-dose group(P<0.05);At T0,there was no difference in inter group indicators such as heart rate(HR),systolic blood pressure(DBP),dias-tolic blood pressure(SBP),and mean arterial pressure(MAP)(P>0.05);At T1 and T2,there was a signif-icant difference between the groups(P<0.05),while at T0,there was no significant change in the low-dose group(P>0.05),while the high-dose group showed a significant change(P<0.05);At T3,there was no significant difference between the groups compared to T0(P>0.05),while compared to T1 and T2,the high-dose group had a significant difference(P<0.05),while the low-dose group had no significant difference(P>0.05).Conclusion:Compared with the high-dose group,low-dose dexmedetomidine combined with general anesthesia is more helpful for the recovery of pharyngeal reflex in patients,improves awakening quality,and has a smaller impact on hemodynamics,which is worth promoting.

DexmetomidineDosageCompound general anesthesiaPainHemodynamicsAwakening quality

王进文、卢莉、宋文学、赵永忠

展开 >

酒泉市人民医院,甘肃 酒泉 735000

右美托咪定 剂量 复合全麻 疼痛 血流动力学 苏醒质量

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(1)
  • 9