首页|右美托咪定对七氟烷麻醉老年骨折手术患者苏醒期躁动的影响

右美托咪定对七氟烷麻醉老年骨折手术患者苏醒期躁动的影响

扫码查看
目的:探讨右美托咪定对七氟烷麻醉老年骨折手术患者苏醒期躁动的影响。方法:选取 2019 年 1月-2021年 4 月辽宁省葫芦岛市南票矿区总医院收治的 56例老年骨折手术患者为研究对象,采用随机数字表法将 56 例患者分为对照组与试验组,各28 例。对照组采用常规手术流程,试验组在手术结束前 10 min应用右美托咪定静脉泵治疗。比较 2 组患者的躁动评分与疼痛视觉模拟(VAS)评分,临床疗效及术后并发症发生率。结果:手术后,试验组患者术后躁动评分高于对照组,VAS评分低于对照组,组间差异有统计学意义(P<0。05)。试验组患者的治疗总有效率高于对照组,差异有统计学意义(P<0。05)。试验组患者并发症发生率低于对照组,差异有统计学意义(P<0。05)。结论:给予七氟烷麻醉的老年骨折手术患者右美托咪定效果较好,右美托咪定能够有效减轻七氟烷麻醉老年骨折手术患者苏醒期躁动程度与疼痛程度,提升治疗效果,降低并发症发生风险。
The Effect of Dexmedetomidine on Emergence Agitation in Elderly Patients Undergoing Fracture Surgery Under Sevoflurane Anesthesia
Objective:To investigate the effect of dexmedetomidine on emergence agitation in elderly patients undergoing fracture surgery under sevoflurane anesthesia.Methods:Fifty-six elderly patients with fractures surgery admitted to the General Hospital of Nanpiao Mining District,Huludao City,Liaoning Province,from January 2019 to April 2021 were selected as the research objects.The patients were randomly divided into a control group and an ex perimental group,with 28 cases in each group.The control group underwent conventional surgical procedures,while the experimental group received dexmedetomidine intravenous pump treatment 10 min before the end of surgery.The agitation scores and pain Visual Analogue Scale(VAS)scores,clinical efficacy,and total incidence of postoperative complications were compared between the two groups.Results:After surgery,the agitation scores in the experimental group were higher than those in the control group,while the VAS scores were lower than those in the control group,and the differences were statistically significant between the two groups(P<0.05).The total effective rate of clinical treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Dexmedetomidine administration in elderly patients undergoing fracture surgery under sevoflurane anesthesia has a good effect,effectively reducing the degree of emergence agitation and pain during the emergence period,improving treatment outcomes,and reducing the risk of complications.

FractureAgedDexmedetomidineSevoflurane anesthesiaEmergence agitationClinical efficacy

任立新

展开 >

辽宁省葫芦岛市南票矿区总医院麻醉科,辽宁 葫芦岛 125027

骨折 老年 右美托咪定 七氟烷麻醉 苏醒期躁动 临床效果

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(6)