Analysis of the Anesthetic Value of Midazolam Combined with Dexmedeto-midine Compounded with Tracheal Intubation Anesthesia in Thyroidec-tomy
Objective To study the effect of midazolam combined with dexmedetomidine compound tracheal intuba-tion anesthesia used in patients undergoing thyroidectomy.Methods A total of 80 thyroidectomy patients(all received tracheal intubation anesthesia)treated in Wuxi Xinwu District Xinrui Hospital from August 2020 to August 2023 were selected as the study object,and they were divided into two groups by random number table method,with 40 cases in each group,they were implemented anesthesia with dexmedetomidine(control group)and midazolam combined with dexmedetomidine(observation group)respectively.The anesthetic effects were compared between the two groups.Re-sults Compared with the control group,the observation group had a higher success rate of one-time intubation and a shorter time of sedation attainment,and the differences were statistically significant(both P<0.05).The Ramsay scores of the observation group(after drug administration to the end of surgery)were higher,the difference was statistically significant(P<0.05).Heart rate were lower and mean arterial pressure were higher in the observation group(after drug administration to after intubation),and the differences were statistically significant(both P<0.05).Norepinephrine and epinephrine were lower in the observation group(before intubation to after intubation),and the differences were statis-tically significant(all P<0.05).The adverse reaction rate of 5.00%was lower in the observation group than that in the control group,and the differences were statistically significant(χ2=4.114,P<0.05).Conclusion Midazolam combined with dexmedetomidine compound tracheal intubation anesthesia used in thyroidectomy is safe,can reduce the impact on stress indicators.