雷米芬太尼联合右美托咪定对头颈部及甲状腺手术患者麻醉效果的影响

发布时间：2018-01-15 20:34

  本文关键词：雷米芬太尼联合右美托咪定对头颈部及甲状腺手术患者麻醉效果的影响　出处：《中国老年学杂志》2015年06期 　论文类型：期刊论文

  更多相关文章： 头颈部及甲状腺手术 麻醉 雷米芬太尼 右美托咪定

【摘要】：目的探讨雷米芬太尼与右美托咪定在头颈部及甲状腺手术患者麻醉中的联合应用意义。方法选取2011年6月至2013年6月在该院行头颈部及甲状腺手术患者135例,将入选患者随机分成A组(单纯芬太尼麻醉组)、B组(雷米芬太尼麻醉组)、C组(雷米芬太尼与右美托咪定联合麻醉组),每组45例。分别对三组头颈部及甲状腺手术患者不同时间心率、收缩压、舒张压变化情况,Ramsay镇静分级改善情况,内脏牵拉反应改善情况疗效改善情况和临床好转情况比较和分析。结果与A组和B组相比,C组头颈部及甲状腺手术患者在T1、T2、T3、T4时心率(HR)、收缩压(SBP)和舒张压(DBP)均明显降低,Ramsay镇静分级为Ⅰ级和Ⅱ级的比率均明显提高,而为Ⅲ级和Ⅳ级的比率则明显降低,内脏牵拉反应为0级的比率显著增加,而为Ⅰ级和Ⅱ级的比率则显著减少,并且差别均呈现出统计学意义(P0.05)。结论雷米芬太尼联合右美托咪定能够全面改善头颈部及甲状腺手术患者的麻醉效果,对于保障手术的顺利进行具有积极的促进作用。
[Abstract]:Objective to explore the combined application of remifentanil and dexmetomidine in head and neck and thyroid surgery patients. Methods from June 2011 to June 2013, we performed head, neck and thyroid surgery in our hospital. 135 patients. The patients were randomly divided into two groups: group A (fentanyl anesthesia group), group B (remifentanil anesthesia group), group C (remifentanil combined with dexmemetomidine anesthesia group). The changes of heart rate, systolic blood pressure and diastolic blood pressure in three groups of patients undergoing head and neck surgery and thyroid surgery were compared with the improvement of Ramsay's sedation grade in each group (45 cases). The improvement of visceral traction reaction and the clinical improvement were compared and analyzed. Results compared with group A and B, the patients with head and neck and thyroid surgery in group C were treated with T1T2T3. HRP, SBP (SBP) and DBP (DBP) decreased significantly at T4, and the ratio of Ramsay sedation grade 鈪，

本文编号：1429971