右美托咪定在老年患者腰-硬联合麻醉中的镇静作用研究

发布时间：2018-01-05 02:34

本文关键词：右美托咪定在老年患者腰-硬联合麻醉中的镇静作用研究　出处：《现代诊断与治疗》2016年15期 　论文类型：期刊论文

【摘要】：目的分析在老年患者腰-硬联合麻醉中右美托咪定所起的镇静效果,以便提供更好的临床麻醉镇静方案。方法选择100例拟进行腰硬联合麻醉的患者,随机均分为5组:右美托咪定组(D_1、D_2、D_3三组)、咪达唑仑组(M组)、空白组(K组),记录患者在时间T_0、T_1、T_2、T_3、T_4、T_5的平均动脉压、心率、呼吸频率、血氧饱和度以及Ramsay评分、术后患者遗忘程度。结果 D_2、D_3、M组Ramsay评分明显优于K组,D_3组HR明显低于其它组,差异有统计学意义(P0.05);D_2、D_3组完全遗忘率明显高于M及K组,差异有统计学意义(P0.05)。结论右美托咪定在老年患者腰硬联合麻醉中有更好的镇静效果,临床上值得应用。
[Abstract]:Objective to analyze the elderly patients with combined spinal epidural anesthesia, dexmedetomidine has sedative effect, so as to provide better clinical anesthesia. Methods 100 cases of patients to combined spinal epidural anesthesia, were randomly divided into 5 groups: Dexmedetomidine group (D_1, D_2, D_3 three group, MI) midazolam group (M group) and control group (K group), were recorded at the time of T_0, T_1, T_2, T_3, T_4, T_5, mean arterial pressure, heart rate, respiratory rate, oxygen saturation, Ramsay score, postoperative forgetting degree. Results D_2, D_3, M group Ramsay significantly better than the K group, D_3 group HR was significantly lower than that of other groups, the difference was statistically significant (P0.05); group D_3 D_2, totally forgetting rate was significantly higher than M and K group, the difference was statistically significant (P0.05). Conclusion dexmedetomidine in elderly patients with combined spinal epidural anesthesia has better sedative effect, worthy of clinical application.

【作者单位】：邵阳市中心医院;
【分类号】：R614.27
【正文快照】： 腰硬联合麻醉(CSEA)技术目前应用广泛,具有良好的麻醉及镇痛作用,但是在手术过程中患者处于清醒状态,会给患者一定的心理压力,尤其是老年患者对麻醉药的敏感性增加,手术产生的心理压力和不良记忆会使老年患者产生焦虑情绪。因此在麻醉中还应结合一定的镇静治疗。右美托咪定是

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