右旋美托咪定联合咪达唑仑用于腰硬联合麻醉下俯卧位经皮肾镜碎石术的效果

发布时间：2018-05-02 07:49

本文选题：肾结石 + 经皮肾镜碎石手术　；参考：《现代诊断与治疗》2016年16期

【摘要】：分析右旋美托咪定联合咪达唑仑用于腰硬联合麻醉下俯卧位经皮肾经碎石术的临床效果。选取收治的行肾镜碎石治疗的患者112例作为研究对象,按照随机分配原则分成4个小组,A组采用腰硬联合两点麻醉,B组在A基础上静脉注射咪达唑仑,同时持续泵注生理盐水;C组在A组的基础上静脉注射右美托咪定,再进行持续泵注麻醉;D组在A的基础上静脉输注咪达唑仑且持续泵注右旋美托咪定。对比4组各项生命体征的指标情况、术后镇静状况等。B组心率减慢等症状发生率显著高于其他各组,差异显著(P0.05);B组、D组术后镇静状态明显优于A组和C组,差异显著(P0.05)。使用硬要联合麻醉下俯卧位经皮肾镜治疗肾结石时,联合使用右美托咪定和咪达唑仑进行镇静,能够显著提升治疗耐受性、改善镇静效果,值得推荐使用。
[Abstract]:To analyze the clinical effect of dexmetomidine combined with midazolam in supine position percutaneous renal lithotripsy under combined spinal-epidural anesthesia. 112 patients treated with nephrolithotripsy were divided into 4 groups: group A received midazolam intravenously on the basis of A, and group B received midazolam intravenously on the basis of combined spinal-epidural anesthesia. At the same time, normal saline group C was injected with dexmetidine intravenously on the basis of group A, and then intravenous midazolam was injected into group D on the basis of A and dexmetoimidine was continuously pumped. Compared with the indexes of the vital signs in the four groups, the incidence of cardiac rate slowing down in group B was significantly higher than that in other groups, and the sedation state of group D was significantly better than that of group A and group C, and the difference was significant (P0.05). Combined use of dexmetomidine and midazolam in the treatment of renal calculi in the prone position under combined epidural anesthesia can significantly improve the therapeutic tolerance and sedation effect, which is worthy of recommendation.
【作者单位】：英山县中医院麻醉科;英山县妇幼保健院儿科;
【分类号】：R614

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