医学美学美容(中旬刊)
醫學美學美容(中旬刊)
의학미학미용(중순간)
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
5期
52-53
,共2页
右美托咪定%血流动力学%麻醉%全身%食管癌
右美託咪定%血流動力學%痳醉%全身%食管癌
우미탁미정%혈류동역학%마취%전신%식관암
dexmedetomidine%hemodynamics%anesthesia%general%esophageal cancer
目的:观察右美托咪定对全麻下食管癌根治术后苏醒期患者的影响。方法选择60例食管癌根治术患者,年龄55~78岁,体重48~75 kg,ASAII级,随机分成右美托咪定组(Y组)和对照组(D组)各30例,在手术结束前30 min分别给予右美托咪定0.5?g/(kg?h)和等体积的生理盐水30 min,观察围拔管期(拔管前10min、拔管前5 min、拔管即刻、拔管后5 min、拔管后10 min)血压、心率、血氧饱和度、苏醒时间、拔管时间、VAS评分及术后不良反应发生情况如术后烦躁、呼吸抑制、寒战。结果 Y组在拔管期心率、血压明显低于D组(P<0.05)。Y组VAS评分>5分和术后烦躁患者少于D组(P<0.05),血氧饱和度、苏醒时间,拔管时间和寒战两组比较差异无统计学意义,两组患者均未出现呼吸抑制。结论右美托咪定应用于全身麻醉下食管癌根治术患者,提供有效的镇静、镇痛,降低后苏醒期的血流动力学波动幅度,术中血流动力学比较平稳,不影响苏醒期拔管时间,值得临床推广应用。
目的:觀察右美託咪定對全痳下食管癌根治術後囌醒期患者的影響。方法選擇60例食管癌根治術患者,年齡55~78歲,體重48~75 kg,ASAII級,隨機分成右美託咪定組(Y組)和對照組(D組)各30例,在手術結束前30 min分彆給予右美託咪定0.5?g/(kg?h)和等體積的生理鹽水30 min,觀察圍拔管期(拔管前10min、拔管前5 min、拔管即刻、拔管後5 min、拔管後10 min)血壓、心率、血氧飽和度、囌醒時間、拔管時間、VAS評分及術後不良反應髮生情況如術後煩躁、呼吸抑製、寒戰。結果 Y組在拔管期心率、血壓明顯低于D組(P<0.05)。Y組VAS評分>5分和術後煩躁患者少于D組(P<0.05),血氧飽和度、囌醒時間,拔管時間和寒戰兩組比較差異無統計學意義,兩組患者均未齣現呼吸抑製。結論右美託咪定應用于全身痳醉下食管癌根治術患者,提供有效的鎮靜、鎮痛,降低後囌醒期的血流動力學波動幅度,術中血流動力學比較平穩,不影響囌醒期拔管時間,值得臨床推廣應用。
목적:관찰우미탁미정대전마하식관암근치술후소성기환자적영향。방법선택60례식관암근치술환자,년령55~78세,체중48~75 kg,ASAII급,수궤분성우미탁미정조(Y조)화대조조(D조)각30례,재수술결속전30 min분별급여우미탁미정0.5?g/(kg?h)화등체적적생리염수30 min,관찰위발관기(발관전10min、발관전5 min、발관즉각、발관후5 min、발관후10 min)혈압、심솔、혈양포화도、소성시간、발관시간、VAS평분급술후불량반응발생정황여술후번조、호흡억제、한전。결과 Y조재발관기심솔、혈압명현저우D조(P<0.05)。Y조VAS평분>5분화술후번조환자소우D조(P<0.05),혈양포화도、소성시간,발관시간화한전량조비교차이무통계학의의,량조환자균미출현호흡억제。결론우미탁미정응용우전신마취하식관암근치술환자,제공유효적진정、진통,강저후소성기적혈류동역학파동폭도,술중혈류동역학비교평은,불영향소성기발관시간,치득림상추엄응용。
Objective To observe the ef ect of dexmedetomidine on the recovery period in patients with esophageal cancer after radical surgery under general anesthesia.Methods 60 pa-tients with esophageal cancer,aged 55 ~78 years of age,body weight 48 ~75 kg,ASAII grade,were randomly divided into dexmedetomidine group (Y group)and control group (D group) 30 cases,in operation before the end of the 30 min were administered dexmedetomidine (0.5 ?g /kg ?h)saline and an equal volume of 30 min,observe the extubation (before extubation 10min,before extubation 5 min,10 min after extubation time,extubation 5 min,after extubation)blood pressure,heart rate,oxygen saturation,recovery time,extubation adverse reaction time, VAS score and postoperative conditions such as postoperative irritability,respiratory inhibition,chil s.Results in Y group,heart rate,blood pressure in tube drawing were lower than those of group D (P<0.05).Less than D group Y group more than 5 fidgety patients VAS score and postoperative (P<0.05),oxygen saturation,no significant recovery time,extubation time and chil s dif erence between the two groups,two groups of patients without respiratory depression.Conclusion dexmedetomidine used in general anesthesia in patients undergoing resection of esopha-geal cancer,and provide ef ective sedation,analgesia,reduce the recovery period after hemodynamic fluctuations,intraoperative hemodynamics more stable,does not af ect the emergence time of extubation,worthy of clinical application.