观察右美托咪啶应用在七氟醚全凭吸入麻醉下对开颅手术临床效果的影响

发布时间：2018-02-27 02:15

本文关键词： 右美托咪啶七氟醚麻醉开颅手术　出处：《当代医学》2016年31期 　论文类型：期刊论文

【摘要】：目的针对右美托咪啶应用在七氟醚全凭吸入麻醉下对开颅手术的临床效果进行分析。方法随机选择实施开颅手术的患者120例作为研究对象,将其分为对照组和观察组,各60例。对照组实施生理盐水辅助全麻,观察组实施右美托咪啶辅助全麻,针对患者的麻醉效果、呼吸恢复睁眼时间、拔管时间、术后镇静评分、不良反应等指标进行观察比较。结果观察组患者的麻醉有效率为98.33%,对照组患者的麻醉有效率为83.33%,2组差异具有统计学意义(P0.05)。观察组患者的呼吸恢复睁眼时间、拔管时间、术后镇静评分与对照组患者的各项指标比较,差异均具有统计学意义(P0.05)。观察组患者的不良反应发生率为5.00%,对照组患者的不良反应发生率为20.00%,差异具有统计学意义(P0.05)。结论在开颅手术患者实施全身麻醉的过程中,实施右美托咪啶辅助麻醉,有显著的麻醉效果,可以减轻术后不良反应的发生,有显著的临床应用效果,可以进行推广应用。
[Abstract]:According to the purpose of dexmedetomidine used in the clinical effect of sevoflurane inhalation anesthesia in craniotomy were analyzed. Methods the implementation of craniotomy in 120 patients as the research object, which is divided into control group and observation group, 60 cases in each group. The implementation of saline assisted anesthesia, the observation group received dexmedetomidine detomidine assisted anesthesia, anesthesia for patients with respiratory recovery, eye opening time, extubation time, postoperative sedation score and adverse reactions were observed and compared. Results the observation group anesthesia in patients with effective rate of 98.33% patients in control group patients was 83.33%, with significant difference between 2 groups (P0.05). The observation group of patients with respiratory recovery time of eye opening, extubation time, postoperative sedation score compared with the control group with the index, the differences were statistically significant (P0.05). The adverse reactions of the observation group patients The rate is 5%, the control group of patients with adverse reaction rate was 20%, the difference was statistically significant (P0.05). Conclusion in craniotomy patients with general anesthesia in the implementation of dexmedetomidine assisted anesthesia, anesthetic effect, can reduce postoperative adverse reaction, have the effect of clinical application that can be applied to.

【作者单位】：周口市中心医院麻醉科;
【分类号】：R614.24

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