老年患者腰椎术后应用右美托咪定对舒芬太尼术后镇痛的影响

发布时间：2018-05-10 07:17

本文选题：老年患者 + 腰椎手术　；参考：《中国现代医学杂志》2017年18期

【摘要】：目的观察老年患者腰椎术后应用右美托咪定对舒芬太尼术后镇痛的影响。方法选取2015年1月-2016年1月在该院老年腰椎手术患者90例,随机分为观察组和对照组,每组45例,观察组患者在术后应用(舒芬太尼+右美托咪定)镇痛,对照组患者在术后应用舒芬太尼镇痛,观察两组患者的镇痛效果和不良反应。结果 (1)观察组在术后多个时间点的视觉模拟评分(VAS)与Ramesay镇静评分均优于对照组,组间差异有统计学意义(P0.05);(2)观察组在各个时间点的血压、心率及血氧变化均比对照组稳定(P0.05);(3)观察组不良反应发生率为6.6%,对照组不良反应发生率为37.7%,组间差异有统计学意义(P0.05)。结论舒芬太尼合用右美托咪定可有效治疗老年患者腰椎术后疼痛,不良反应发生率低。
[Abstract]:Objective To observe the effect of dexmedetomidine on postoperative analgesia after sufentanil operation in the elderly patients. Methods 90 patients in the elderly lumbar spine surgery in January 2015 -2016 January were randomly divided into observation group and control group, 45 cases in each group. The patients in the observation group were used (sufentanil + right metoimidine) after operation, and the control group was in the control group. The analgesic effect of sufentanil was used after the operation to observe the analgesic effect and adverse reaction of the two groups. Results (1) the visual analogue score (VAS) and Ramesay sedation score in the observation group were all better than those in the control group, and the difference between the groups was statistically significant (P0.05); (2) the blood pressure, heart rate and blood oxygen change were compared in the observation group at all time points. The group was stable (P0.05); (3) the incidence of adverse reactions in the observation group was 6.6%, the incidence of adverse reactions in the control group was 37.7%, and the difference between the groups was statistically significant (P0.05). Conclusion sufentanil combined with dexmedetomidine could effectively treat the postoperative pain of the lumbar vertebrae in the elderly patients, and the incidence of adverse reactions was low.

【作者单位】：中南大学湘雅医院麻醉科;
【分类号】：R614

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