首页|右美托咪定在静息复合全身麻醉方案中对患者苏醒期应激反应的影响

右美托咪定在静息复合全身麻醉方案中对患者苏醒期应激反应的影响

扫码查看
目的 研究右美托咪定在静息复合全身麻醉方案中对患者苏醒期应激反应的影响作用.方法 选择2022年1-12月本院收治的80例需要采用静息复合全身麻醉的患者,按照随机数字表法分组,对照组(n=40)通过靶控输注丙泊酚、瑞芬太尼进行辅助麻醉,观察组(n=40)实施右美托咪定进行辅助麻醉,比较两组患者不同时间段SBP及DBP水平、应激反应指标、麻醉指标、麻醉满意度.结果 在入室、全麻前、全麻后插管前,两组患者SBP、DBP水平比较,差异无统计学意义(P>0.05).在切皮、进腹、缝皮、拔管时,观察组患者SBP、DBP水平低于对照组,差异有统计学意义(P<0.05).观察组患者的各项应激反应指标均少于对照组,差异有统计学意义(P<0.05).观察组患者的各项麻醉指标水平均低于对照组,差异有统计学意义(P<0.05);观察组患者的麻醉满意度高于对照组,差异有统计学意义(P<0.05).结论 静息复合全身麻醉中应用右美托咪定进行辅助麻醉,可缓解患者苏醒期应激反应,控制患者血压,提升麻醉满意度,改善麻醉指标,值得推广.
Effect of Dexmedetomidine on Stress Response of Patients During Recovery Period in Combination of Resting and General Anesthesia Scheme
Objective To investigate effect of dexmedetomidine on stress response of patients during recovery period in combination of resting and general anesthesia scheme.Methods The paper chose 80 patients with combined general anesthesia in the hospital from January 2022 to December 2022,and divided them into two groups with random number table method.Control group(n=40)was treated with target controlled infusion of propofol and remifentanil as adjuvant anesthesia,while observation group(n=40)with dexmedetomidine as adjuvant anesthesia.SBP and DBP levels,stress response indicators,anesthesia indicators,anesthesia satisfaction degree were compared at different time periods between two groups.Results There was no significant difference in SBP and DBP levels between two groups before entering operation room,general anesthesia,and intubation after general anesthesia(P>0.05).However,during skin cutting,abdominal incision,suture,and extubation,SBP and DBP levels in observation group were lower than control group,with significant difference(P<0.05).Various stress response indicators of observation group were lower than control group,with significant difference(P<0.05).Levels of various anesthesia indicators in observation group were lower than control group,with significant difference(P<0.05).Anesthesia satisfaction degree of observation group was higher than control group,with significant difference(P<0.05).Conclusion Dexmedetomidine as an adjunctive anesthesia in combination with resting general anesthesia can alleviate stress response of patients during recovery period,control blood pressure,improve anesthesia satisfaction degree,and improve anesthesia indicators,which is worthy of promotion.

DexmedetomidineResting combined general anesthesiaAwakening stress responseAnesthetic effect

马刚

展开 >

无锡市新吴区新瑞医院 麻醉科,江苏 无锡 214028

右美托咪定 静息复合全身麻醉 苏醒期应激反应 麻醉效果

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(3)
  • 9