右美托咪定联合帝视内镜在全身麻醉气管插管老年患者中的应用效果

发布时间：2018-01-20 17:05

本文关键词： 气管插管老年患者全身麻醉右美托咪定帝视内镜　出处：《中国当代医药》2016年34期 　论文类型：期刊论文

【摘要】：目的探讨右美托咪定联合帝视内镜在全身麻醉气管插管老年患者中的应用效果。方法选取2013年1月~2015年12月我院收治的80例老年全身麻醉手术患者作为研究对象,按照随机数字表法分为对照组和观察组,各40例。手术中,对照组采用直接喉镜联合氯化钠注射液,观察组采用右美托咪定联合帝视内镜。比较两组插管前后的平均动脉压、心率变化情况,并对两组患者的插管时间、苏醒时间、拔管时间、一次插管成功率、咽部不适发生率进行比较。结果对照组插管后的心率快于插管前,平均动脉压高于插管前,差异有统计学意义(P0.05)。观察组治疗前后的心率、平均动脉压比较,差异无统计学意义(P0.05)。观察组插管后的心率慢于对照组,平均动脉压低于对照组,差异有统计学意义(P0.05)。观察组的插管时间、苏醒时间、拔管时间显著短于对照组,差异有统计学意义(P0.05)。观察组的一次插管成功率为100%,显著高于对照组的80%,差异有统计学意义(P0.05)。观察组的咽部不适发生率为10%,显著低于对照组的28%,差异有统计学意义(P0.05)。结论在老年患者气管插管全身麻醉手术过程中采用右美托咪定联合帝视内镜,可有效稳定患者手术过程中的生命体征,促进插管的顺利进行。
[Abstract]:Objective to investigate the effect of dexmetomidine combined with endoscopy on elderly patients with tracheal intubation under general anesthesia. Methods from January 2013 to December 2015, 80 elderly patients with general anesthesia hand in our hospital were selected. Surgical patients were studied. According to the random digital table method, the patients were divided into control group and observation group with 40 cases each. During operation, the control group was treated with direct laryngoscope and sodium chloride injection. The mean arterial pressure and heart rate before and after intubation were compared between the two groups. The intubation time, recovery time, extubation time and the success rate of one intubation were compared between the two groups. Results the heart rate after intubation in the control group was faster than that before intubation, and the mean arterial pressure was higher than that before intubation, the difference was statistically significant (P 0.05). Compared with the mean arterial pressure, there was no significant difference (P 0.05). The heart rate after intubation in the observation group was slower than that in the control group, and the mean arterial pressure was lower in the observation group than in the control group. The intubation time, recovery time and extubation time in the observation group were significantly shorter than those in the control group. The success rate of single intubation in the observation group was 100, which was significantly higher than that in the control group (80%). The incidence of pharyngeal discomfort in the observation group was 10, significantly lower than that in the control group (28%). The difference was statistically significant (P 0.05). Conclusion the use of dexmetomidine combined with visual endoscopy during the general anesthesia of tracheal intubation in elderly patients can effectively stabilize the vital signs of the patients during the operation. Facilitate the smooth operation of intubation.
【作者单位】：广东省普宁市人民医院麻醉科;
【分类号】：R614.2
【正文快照】： 气管插管全身麻醉是临床外科手术中常用的麻醉方法,被广泛应用于老年外科手术中。由于老年患者的机体耐受性差,在对其进行气管插管时,其血压、心率容易出现波动,对手术治疗较为不利,故临床上需要对老年气管插管患者采取适当的处理措施。临床上为了保证气管插管的顺利进行,往往

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