探讨老年患者术后右美托咪定镇痛的优势

发布时间：2018-05-13 11:10

本文选题：老年患者 + 右美托咪定　；参考：《中国实用医药》2016年31期

【摘要】：目的探讨老年患者术后是否干预及如何干预预后更好。方法 88例患有胆囊相关疾病、胃肠道疾病及骨科创伤手术、高血压脑出血手术的老年患者。随机分为对照组和实验组,各44例。对照组术后不予镇痛,根据患者术后出现的并发症给予对症处理,实验组术后实行静脉自控持续镇痛,用药为右美托咪定+舒芬太尼+托烷司琼,根据监测结果及患者状况对镇痛药物剂量做出调整。比较两组效果。结果实验组视觉模拟评分法(VAS)评分为(2.5±1.8)分,发生术后认知功能障碍(POCD)1例(2.27%),优于对照组的(7.6±1.5)分和8例(18.18%),两组比较差异有统计学意义(P0.05)。结论老年患者术后需要给予镇痛,并且右美托咪定+舒芬太尼+托烷司琼是是一个很好的药物组合,再加上责任护士认真的护理,对于老年患者术后镇痛有明显的优势。
[Abstract]:Objective to explore whether or not to intervene and how to intervene the prognosis of elderly patients after operation. Methods 88 elderly patients with gallbladder related diseases, gastrointestinal diseases, orthopedic trauma surgery and hypertensive intracerebral hemorrhage surgery were performed. They were randomly divided into control group and experimental group with 44 cases in each group. The patients in the control group received postoperative analgesia and were treated with symptomatic treatment according to the postoperative complications. The patients in the experimental group were treated with dexmetomidine sufentanitraconisetron for continuous intravenous analgesia. The dosage of analgesic drugs was adjusted according to the monitoring results and the patient's condition. Results were compared between the two groups. Results the visual analogue score (VAS) score was 2.5 卤1.8 in the experimental group. There was a significant difference between the two groups (P 0.05). There was a significant difference between the two groups in cognitive dysfunction and POCDD in 1 case (2.27%), which was better than that in the control group (7.6 卤1.5) and in 8 cases (18.18%). Conclusion postoperative analgesia is needed in elderly patients, and dexmetomidine sufentanitraconisetron is a good combination of drugs, combined with careful nursing care by responsible nurses, it has obvious advantages for postoperative analgesia in elderly patients.
【作者单位】：盘锦市中心医院手术室;

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