中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
1期
84-85,86
,共3页
右美托咪定%丙泊酚%膀胱镜检查术
右美託咪定%丙泊酚%膀胱鏡檢查術
우미탁미정%병박분%방광경검사술
Dexmedetomidine%Propofol%Cystoscopy intraoperative
目的：观察右美托咪定、丙泊酚及右美托咪定复合丙泊酚在膀胱镜检查术中的麻醉效果并进行比较。方法：选取2012年4-10月本院进行膀胱镜检查术的99例男性患者，按照随机数字表法将其分为丙泊酚组（A组）、右美托咪定组（B组）、丙泊酚复合右美托咪定组（C组），每组33例患者。记录检查中各组麻醉药物的用量，观察并比较三组在检查前、中、后收缩压（SBP）、舒张压（DBP）、心率（Hr）和动脉血氧饱和度（SpO2）的变化情况，同时记录并比较三组的定向力恢复时间和意识恢复时间。结果：三组血压、心率与检查前相比较，均呈一过性的下降，A组下降程度最大，且意识恢复时间较B、C组明显增加（P<0.05），B组用药剂量大，操作繁琐，C组与A组相比麻醉效果稳定，生命体征平稳，意识恢复时间短（P<0.05），与B组相比右美托咪定用量少，操作简单。结论：小剂量右美托咪定复合丙泊酚用于膀胱检查术中能有效减少患者的不良反应，缩短唤醒时间，减少麻醉药物用量，提高患者舒适度，增强手术质量，操作简单，值得推广。
目的：觀察右美託咪定、丙泊酚及右美託咪定複閤丙泊酚在膀胱鏡檢查術中的痳醉效果併進行比較。方法：選取2012年4-10月本院進行膀胱鏡檢查術的99例男性患者，按照隨機數字錶法將其分為丙泊酚組（A組）、右美託咪定組（B組）、丙泊酚複閤右美託咪定組（C組），每組33例患者。記錄檢查中各組痳醉藥物的用量，觀察併比較三組在檢查前、中、後收縮壓（SBP）、舒張壓（DBP）、心率（Hr）和動脈血氧飽和度（SpO2）的變化情況，同時記錄併比較三組的定嚮力恢複時間和意識恢複時間。結果：三組血壓、心率與檢查前相比較，均呈一過性的下降，A組下降程度最大，且意識恢複時間較B、C組明顯增加（P<0.05），B組用藥劑量大，操作繁瑣，C組與A組相比痳醉效果穩定，生命體徵平穩，意識恢複時間短（P<0.05），與B組相比右美託咪定用量少，操作簡單。結論：小劑量右美託咪定複閤丙泊酚用于膀胱檢查術中能有效減少患者的不良反應，縮短喚醒時間，減少痳醉藥物用量，提高患者舒適度，增彊手術質量，操作簡單，值得推廣。
목적：관찰우미탁미정、병박분급우미탁미정복합병박분재방광경검사술중적마취효과병진행비교。방법：선취2012년4-10월본원진행방광경검사술적99례남성환자，안조수궤수자표법장기분위병박분조（A조）、우미탁미정조（B조）、병박분복합우미탁미정조（C조），매조33례환자。기록검사중각조마취약물적용량，관찰병비교삼조재검사전、중、후수축압（SBP）、서장압（DBP）、심솔（Hr）화동맥혈양포화도（SpO2）적변화정황，동시기록병비교삼조적정향력회복시간화의식회복시간。결과：삼조혈압、심솔여검사전상비교，균정일과성적하강，A조하강정도최대，차의식회복시간교B、C조명현증가（P<0.05），B조용약제량대，조작번쇄，C조여A조상비마취효과은정，생명체정평은，의식회복시간단（P<0.05），여B조상비우미탁미정용량소，조작간단。결론：소제량우미탁미정복합병박분용우방광검사술중능유효감소환자적불량반응，축단환성시간，감소마취약물용량，제고환자서괄도，증강수술질량，조작간단，치득추엄。
Objective:To observe and compare the effects of dexmedetomidine,propofol and dexmedetomidine anesthesia combined with propofol in intraoperative cystoscopy.Method:Ninety-nine male patients were selected from April 2012 to October 2012 in our hospital for cystoscopy surgery, they were randomly divided into the propofol group(group A),the dexmedetomidine group(group B),the propofol and dexmedetomidine group(group C), 33 cases in each group.The amount of anesthetic drugs in each group were recorded,three groups in the inspection before,during and after the systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR)and arterial oxygen saturation(SpO2)changes were observed and recorded, the orientation recovery time and consciousness recovery time of three groups were recorded and compared.Result:The pressure of three groups compared with before the inspection,heart rate showed a transient decrease at the same time,group A declined in the largest degree and consciousness recovery time was increased significantly than group B and group C,group B had a large medication dose,complicated operation,group C compared with group A,anesthetic effect and vital signs were stable,and consciousness recovery time was short(P<0.05),compared with the group B,the dosage of dexmedetomidine in group A was more lesser,and the operater was more simple.Conclusion:Small doses of dexmedetomidine and propofol given checks for cystoscopy intraoperative can effectively reduce the adverse reactions in patients,shorter the wake-up time,reduce the amount of narcotic drugs and improve patient comfort,and enhance the quality of surgery,simple operation,worthy of promotion.
