右美托咪啶与芬太尼对肺部手术患者血气及脑氧饱和度影响

发布时间：2018-06-23 19:28

本文选题：右美托咪啶 + 芬太尼　；参考：《中国医药导刊》2016年11期

【摘要】：目的:探讨右美托咪啶与芬太尼对肺部手术患者血气以及脑氧饱和度的影响。方法:80例行肺叶切除手术肺癌患者,随机分为对照组和试验组,各33例,患者均行肺叶切除术,两组均用芬太尼、丙泊酚麻醉,试验组再给予右美托咪啶,手术结束后,比较PO_2、PCO_2、rSO_2、MMSE评分以及患者苏醒时间、拔管时间。结果:与治疗前相比,治疗后患者rSO_2、MMSE评分水平均下降,PO_2水平升高;与对照组相比,试验组患者rSO_2、MMSE评分以及PO_2水平较高,苏醒时间、拔管时间较短;患者治疗前后PCO_2无变化。结论:右美托咪啶与芬太尼能够升高肺部手术患者PO_2水平,延缓患者脑氧饱和度水平的下降,对PCO_2水平无影响。
[Abstract]:Aim: to investigate the effects of dexmetidine and fentanyl on blood gas and cerebral oxygen saturation in patients undergoing pulmonary surgery. Methods Twenty patients with lung cancer underwent lobectomy were randomly divided into two groups: control group (n = 33) and trial group (n = 33). The patients in both groups were anesthetized with fentanyl and propofol. The MMSE scores, recovery time and extubation time of patients were compared. Results: compared with before treatment, the level of rSO2 / MMSE decreased and PO2 increased, compared with control group, the scores of rSO2 / MMSE and PO2 in experimental group were higher, recovery time and extubation time were shorter, and PCO2 had no change before and after treatment. Conclusion: dexmetidine and fentanyl can increase PO2 level and delay the decrease of cerebral oxygen saturation in patients undergoing pulmonary surgery, but have no effect on PCO-2 level.
【作者单位】：陕西省杨凌示范区医院麻醉科;陕西省人民医院麻醉科;
【分类号】：R614

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