异丙酚复合右美托咪定在老年患者逆行性胰胆管造影中的应用

发布时间：2018-04-11 16:58

本文选题：异丙酚 + 右美托咪定　；参考：《中国内镜杂志》2015年05期

【摘要】：目的探讨异丙酚复合右美托咪定静脉麻醉在老年患者逆行性胰胆管造影中的应用效果。方法 40例拟行逆行性胰胆管造影的老年患者,随机平均分为两组:F组采用异丙酚伍用芬太尼静脉全身麻醉,D组采用异丙酚伍用右美托咪定静脉全身麻醉。监测两组患者在不同时间点生命体征的变化,观察两组患者在麻醉过程中的不良反应及苏醒时间。结果两组在麻醉过程中血压、脉搏氧饱和度和呼吸次数均较麻醉前显著降低(P0.05),ERCP结束患者意识恢复后,D组心率较麻醉前显著降低,F组心率较麻醉前无显著变化。D组麻醉后意识恢复时间明显少于F组(P0.05),D组麻醉过程中不良反应明显少于F组(P0.05)。结论异丙酚复合右美托咪定静脉麻醉在老年患者逆行性胰胆管造影中的应用是一种安全有效的方法。
[Abstract]:Objective to investigate the effect of propofol combined with dexmetidine intravenous anesthesia on retrograde cholangiopancreatography in elderly patients.Methods 40 elderly patients with retrograde cholangiopancreatography were randomly divided into two groups: group F received propofol combined with fentanyl intravenous general anesthesia and group D received propofol combined with dexmetomidine intravenous general anesthesia.The changes of vital signs at different time points in two groups were monitored and the adverse reactions and recovery time during anesthesia were observed.Results the blood pressure of the two groups during anesthesia,Pulse oxygen saturation and respiratory frequency were significantly lower than before anesthesia. Group D had significantly lower heart rate after consciousness recovery in group D than before anesthesia. Heart rate of group F was significantly lower than that of group F. the time of recovery of consciousness after anesthesia in group D was significantly less than that before anesthesia.The adverse reactions in group F were significantly less than those in group F during anesthesia.Conclusion propofol combined with dexmetidine intravenous anesthesia is a safe and effective method for retrograde cholangiopancreatography in elderly patients.
【作者单位】：解放军第404医院麻醉科;
【分类号】：R614.2

【共引文献】