首页|不同剂量右美托咪啶复合异丙酚和瑞芬太尼用于腹部手术患者麻醉的效果

不同剂量右美托咪啶复合异丙酚和瑞芬太尼用于腹部手术患者麻醉的效果

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目的 研究分析不同剂量右美托咪啶复合异丙酚和瑞芬太尼用于腹部手术患者麻醉的效果.方法 选取2015年1月~2016年8月台州市肿瘤医院收治的的200例腹部手术患者为研究对象,随机分为实验组和对照组,每组100例.对照组患者进行0.4μg/kg盐酸右美托咪定注射液复合异丙酚和瑞芬太尼麻醉,实验组患者进行0.8 ug/kg盐酸右美托咪定注射液麻醉.比较分析实验组与对照组患者不良反应发生情况以及拔管时间和苏醒时间.结果 经过对应剂量的右美托咪啶后,实验组患者中恶心呕吐的患者为6例,发生寒战的患者为7例,发生不良反应例数为13例,总发生率为13.0%.对照组患者中23例发生寒战,12例患者出现恶心呕吐,发生不良反应的例数为35例,不良反应发生率为35.0%.可得,对照组患者中发生不良反应的概率显著高于对照组,差异具有统计学意义(P<0.05).实验组患者的苏醒时间和拔管时间均显著低于对照组患者,差异具有统计学意义(P<0.05).结论 0.8μg/kg盐酸右美托咪定注射液复合异丙酚和瑞芬太尼麻醉用于腹部麻醉手术的效果较好,可显著缩短患者拔管时间,安全性较高,降低了患者痛苦和手术风险,具有临床进一步推广和应用的意义.
Effects of different doses of dexmedetomidine combined with propofol and remifentanil on anesthesia in patients undergoing abdominal surgery
Objective To study the effect of different doses of dexmedetomidine combined with propofol and remifentanil in patients undergoing abdominal surgery. Methods 200 cases of abdominal operation in our hospital from January 2015 to August 2016 were selected as the subjects, and were randomly divided into the experimental group and the control group, with 100 patients in each group. Patients in the control group received 0.4μg/kg, dexmedetomidine hydrochloride injection combined with propofol and remifentanil anesthesia, and the experimental group received 0.8μg/kg, Dexmedetomidine Hydrochloride Injection anesthesia. The adverse reactions, extubation time and recovery time of the experimental group and the control group were compared and analyzed. Results After the corresponding dose of dexmedetomidine, the patients in the experimental group were 6 cases of nausea and vomiting, 7 patients with chills, 13 cases of adverse reactions, the total incidence was 13%. In the control group, shivering occurred in 23 cases, nausea and vomiting occurred in 12 patients, and the number of adverse reactions in 35 cases, the incidence of adverse reactions was 35%. The probability of adverse reactions in the control group was significantly higher than that in the control group, with statistical difference (P<0.05). The recovery time and extubation time of the experimental group were significantly lower than those of the control group, with statistical difference (P<0.05). Conclusion 0.8μg / kg dexmedetomidine hydrochloride Iinjection combined with propofol and remifentanil anesthesia in abdominal surgery is better anesthesia effect, can significantly shorten the time of patients with tube drawing, high safety, reduce the pain and risk of surgery patients has clinical significance in the further promotion and application.

different doses of dexmedetomidinepropofolremifentanilabdominal surgeryanesthesia effect

杨海峰、瞿玉莲

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台州市肿瘤医院 麻醉科,浙江 台州 317502

不同剂量右美托咪啶 异丙酚 瑞芬太尼 腹部手术 麻醉效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(8)
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