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右美托咪定联合舒芬太尼在直肠癌手术中的应用效果观察

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目的:观察右美托咪定联合舒芬太尼在直肠癌手术患者中的应用效果。方法:将2020年1月至2022年12月我院收治的82例直肠癌患者分为对照组40例和观察组42例。对照组患者采用舒芬太尼维持麻醉,观察组患者在对照组的基础上使用右美托咪定维持麻醉,比较2组患者的麻醉效果、血流动力学指标、苏醒质量、疼痛以及术后并发症发生情况。结果:观察组患者麻醉效果优于对照组(P<0。05)。与麻醉诱导前(T0)时相比,2组患者手术20 min(T1)时平均动脉压(MAP)、心率(HR)均下降,观察组患者T1、拔管后5 min(T2)时的MAP水平高于对照组(P<0。05)。观察组患者术后苏醒时间,气管插管时间,PACU时间明显短于对照组(P<0。05)。观察组患者术后3 h、12 h和24 h疼痛和镇静评分均低于对照组(P<0。05)。观察组患者术后并发症发生率低于对照组(P<0。05)。结论:直肠癌手术中应用舒芬太尼联合右美托咪定具有明显的镇痛作用,不但可以提高患者苏醒质量,稳定血流动力学状态,而且还能减少术后并发症,值得临床推广应用。
Application Effect of Dexmedetomidine Combined with Sufentanil in Rectal Cancer Operation
Objective To observe the effect of dexmedetomidine combined with sufentanil in patients un-dergoing rectal cancer operation.Methods Total 82 patients with rectal cancer admitted to our hospital from January 2020 to December 2022 were divided into control group(40 cases)and observation group(42 cases).Sufentanil was used to maintain anesthesia in the control group,while dexmedetomidine was used to maintain anesthesia in the observation group on the basis of the control group.The anesthetic effect,he-modynamic indexes,quality of recovery,pain and postoperative complications of the two groups were com-pared.Results The anesthetic effect in the observation group was better than that in the control group(P<0.05).Compared with T0(before anesthesia induction),the mean arterial pressure(MAP)and heart rate(HR)of both groups were decreased at 20 min after operation(T1),and the MAP level of the observation group was higher than that of the control group at T1 and 5 min after extubation(T2)(P<0.05).The postoperative recovery time,tracheal intubation time and PACU hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).Pain and sedation scores at 3 h,12 h and 24 h in the observation group were lower than those in the control group(P<0.05).The in-cidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion Sufentanil combined with dexmedetomidine has obvious analgesic effect in rectal cancer operation,which can not only improve the quality of recovery of patients,stabilize the hemodynamic state,but also reduce postoperative complications,which is worthy of clinical promotion and application.

Rectal cancerOperationDexmedetomidineSufentanil

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郑州市第七人民医院麻醉科(河南 郑州 450000)

直肠癌 手术 右美托咪定 舒芬太尼

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(7)