右美托咪联合布托啡诺对慢性硬膜外下血肿钻引流术患者的麻醉效果探究

发布时间：2018-02-16 04:02

本文关键词： 钻引流术麻醉右美托咪慢性硬膜外下血肿布托啡诺　出处：《中国医药科学》2016年21期 　论文类型：期刊论文

【摘要】：目的探讨在对慢性硬膜外下血肿患者行钻引流术治疗时,右美托咪、布托啡诺联合用于麻醉效果。方法选取我院2014年7月~2016年2月192例因慢性硬膜外下血肿入院行血肿钻引流术治疗患者,按双盲法随机分为四组包括联合组48例、右美组48例、布托组48例、对照组48例。其中右美组患者术中采用右美托咪进行麻醉,布托组单用布托啡诺对患者进行麻醉,联合组右美托咪、布托啡诺联合用于麻醉,对照组术中滴注生理盐水,观察四组患者各时期患者的血压,平均动脉压,血氧,心率,镇静评分,记录围手术期不良反应的发生情况。结果 T0时刻各组病患HR、MAP、Sp O2、镇静评分比较无意义(P0.05);T1、T2、T3、T4时联合组组较其他各组MAP值高、心率水平低、镇静评分高(P0.05);对照组较右美组、布托组两组MAP值低、心率水平高、镇静评分低(P0.05);右美组、布托组两组MAP、心率、镇静评分比较无意义(P0.05);联合组较其他组恶心呕吐、心动过速、呼吸抑制、寒战不良反应发生少(P0.05),右美组、布托组两组不良反应比较无意义(P0.05);对照组较右美组、布托组两组不良反应发生多(P0.05)。结论临床对慢性硬膜下血肿患者行钻引流术时,选择右美托咪、布托啡诺联合用于麻醉,患者术中血压、心率、血氧饱和度水平变化平稳,术后不良反应少。
[Abstract]:Objective to investigate the effects of dexmetomide on the treatment of subdural hematoma in patients with subdural hematoma. Methods from July 2014 to February 2016, 192 patients with chronic subdural hematoma were treated by hematoma drilling and drainage. According to the double blind method, the patients were randomly divided into four groups: the combined group (48 cases) and the right side group (48 cases). There were 48 cases in Bhutto group and 48 cases in control group. The patients in the right group were anesthetized with dexmetomide, the patients in the Bhutto group were anesthetized with butorphanol alone, and the patients in the combination group were anesthetized with dexmetomide and butorphanol. In the control group, the blood pressure, mean arterial pressure, blood oxygen, heart rate, sedation score were observed. Results at T0 time, HRP MAPSp O 2 and sedation score were significantly higher in the combined group than in the other groups (P 0.05), the heart rate was lower and the sedation score was higher in the control group than in the right US group, while in the control group was higher than that in the right side group, and that in the control group was higher than that in the right side group, while in the control group, it was significantly lower than that in the other groups, and the level of heart rate was lower and the sedation score was higher in the control group. The MAP, heart rate and sedation score of the two groups were lower than those of the other groups (P 0.05, P 0.05), the right group, the right group, the Bhutto group, the heart rate and sedation score had no significance (P 0.05), and the combined group had more nausea, vomiting, tachycardia, and respiratory depression than the other groups, and there was no significant difference between the two groups (P 0.05). There was no significant difference between the two groups in the side effects of shivering, the right group and the Bhutto group, while in the control group and the right American group, the two groups had more adverse reactions than those in the control group. Conclusion the patients with chronic subdural hematoma were treated with drilling and drainage, and the patients with subdural hematoma were treated with drilling and drainage. Dexmetomide and butorphanol were used in anesthesia. The changes of blood pressure, heart rate and blood oxygen saturation were stable, and the adverse reactions were less.
【作者单位】：广东省揭阳市人民医院;
【分类号】：R614

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