首页|右美托咪定术前15min单次缓慢静脉注射方案在妇科腹腔镜手术中的麻醉效果分析

右美托咪定术前15min单次缓慢静脉注射方案在妇科腹腔镜手术中的麻醉效果分析

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目的 探究右美托咪定术前 15 min单次缓慢静脉注射方案在妇科腹腔镜手术中的麻醉效果。方法 选取某院 2021 年 1月~2023 年 6 月纳入的 60 例行妇科腹腔镜手术患者,按照随机数字法分为对照组(持续静脉注射方案,30 例)和观察组(单次缓慢静脉注射方案,30 例)。比较两组患者麻醉恢复指标、生命体征及不良反应发生情况。结果 和对照组相比,观察组麻醉恢复指标时间较短、不良反应总发生率较低,差异有统计学意义(P<0。05);和对照组相比,观察组气腹后 40 min,心率(HR)、平均动脉压(MAP)较低,差异有统计学意义(P<0。05)。结论 对妇科腹腔镜手术患者采用右美托咪定术前 15 min单次缓慢静脉注射方案麻醉效果较好,能够维持患者生命体征平稳,缩短拔管时间,促进患者恢复清醒,同时能够减少麻醉相关不良反应,安全性较高。
Analysis of anesthetic effect of single slow intravenous injection of dexmedetomidine 15 min before operation in gynecological laparoscopic surgery
Objective To investigate the anesthetic effect of single slow intravenous injection of dexmedetomidine 15 min before operation in gynecological laparoscopic surgery.Methods A total of 60 gynecological laparoscopic surgery patients enrolled in a hospital from January 2021 to June 2023 were selected and divided into the control group(continuous intravenous injection program,30 cases)and the observation group(single slow intravenous injection program,30 cases)according to random number method.Anesthesia recovery indexes,vital signs and adverse reactions were compared between the two groups.Results Compared with the control group,the time of anesthesia recovery index was shorter and the incidence of adverse reactions was lower in the observation group,with statistical significances(P<0.05).Compared with the control group,HR and MAP in the observation group were lower 40 min after pneumoperitoneum,and the differences were statistically significant(P<0.05).Conclusion The single slow intravenous injection of dexmedetomidine 15 min before operation has a good anesthetic effect in gynecological laparoscopic surgery patients,which can maintain the stable vital signs of patients,shorten the time of extubation,promote the recovery of patients,and reduce anesthesiation-related adverse reactions,with high safety.

Anesthetic effectGynecological laparoscopic surgerySingle slow intravenous infusionDexmedetomidineAdverse reaction

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天津市人民医院麻醉科,天津 300040

麻醉效果 妇科腹腔镜手术 单次缓慢静脉注射 右美托咪定 不良反应

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(7)