右美托咪定在妇科腹腔镜手术全身麻醉苏醒期中的应用效果
The application effect of dexmedetomidine in the general anesthesia recovery period of gynecological laparoscopic surgery
宋金铜1
作者信息
- 1. 江阴市第四人民医院麻醉科,江苏江阴 214421
- 折叠
摘要
目的 探讨右美托咪定在妇科腹腔镜手术全身麻醉苏醒期中的应用效果.方法 选取62例妇科腹腔镜手术行气管插管全身麻醉患者为研究对象,随机分为两组,各31例.对照组泵注0.9％氯化钠注射液,探究组泵注右美托咪定,比较两组的血流动力学指标、麻醉效果、恢复时间及不良反应.结果 拔管时、拔管5 min后,探究组心率、平均动脉压水平低于对照组(P＜0.05);探究组PAED、Ramsay评分低于对照组(P＜0.05);两组拔管、清醒及自主呼吸时间比较差异无统计学意义(P＞0.05);两组不良反应发生率比较差异无统计学意义(P＞0.05).结论 右美托咪定安全性高,对清醒质量无负面影响,且能抑制血流动力学波动,保证全身麻醉苏醒质量.
Abstract
Objective To explore the application effect of dexmedetomidine in the general anesthesia recovery period of gynecological laparoscopic surgery.Methods 62 patients undergoing gynecological laparoscopic surgery and general anesthesia with tracheal intubation were selected as the study subjects,and randomly divided into two groups,with 31 cases in each group.The control group was infused with 0.9％sodium chloride injection,while the exploration group was infused with dexmedetomidine.The hemodynamic indicators,anesthesia effect,recovery time,and adverse reactions of the two groups were compared.Results At the time of extubation and 5 minutes after extubation,the heart rate and mean arterial pressure level of the exploration group were lower than those of the control group(P＜0.05);The PAED and Ramsay scores of the exploration group were lower than those of the control group(P＜0.05);There was no statistically significant difference in extubation,wakefulness,and spontaneous breathing time between the two groups(P＞0.05);There was no statistically significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion Dexmedetomidine is highly safe,has no negative impact on the quality of awakening,and can inhibit hemodynamic fluctuations to ensure the quality of general anesthesia awakening.
关键词
腹腔镜/不良反应/右美托咪定/妇科/恢复时间/全身麻醉苏醒期Key words
Laparoscopy/Adverse reactions/Dexmedetomidine/Gynecology/Recovery time/General anesthesia awakening period引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据