CAJ | 학술논문

目的：分析并讨论右旋美托咪定在全身麻醉应用中的临床效果及其安全性。方法72例患者据所使用麻醉药物的不同将其均分为采用右旋美托咪定（deX）进行麻醉的 a 组，与仅注射等量生理盐水的 B 组进行对比。观察 deX 用于全身麻醉的效果与其安全性。结果72例进行全身麻醉的患者手术均顺利完成，且没出现心律失常、头晕、发热等不良反应。其中，采用右旋美托咪定 a 组患者的血压、心率、spo2等指标均优于 B 组（P<0.05），同时，ramsay 评分也明显优于 B 组。与 B 组相比，a 组的麻醉剂用量（如瑞芬太尼、异丙酚等）也较少。结论 deX 用于全身麻醉不仅具有镇静、镇痛、抗交感的效果，而且能够减少芬太尼和异丙酚等麻醉药物的使用，稳定血液循环等，安全可靠。
목적：분석병토론우선미탁미정재전신마취응용중적림상효과급기안전성。방법72례환자거소사용마취약물적불동장기균분위채용우선미탁미정（deX）진행마취적 a 조，여부주사등량생리염수적 B 조진행대비。관찰 deX 용우전신마취적효과여기안전성。결과72례진행전신마취적환자수술균순리완성，차몰출현심률실상、두훈、발열등불량반응。기중，채용우선미탁미정 a 조환자적혈압、심솔、spo2등지표균우우 B 조（P<0.05），동시，ramsay 평분야명현우우 B 조。여 B 조상비，a 조적마취제용량（여서분태니、이병분등）야교소。결론 deX 용우전신마취불부구유진정、진통、항교감적효과，이차능구감소분태니화이병분등마취약물적사용，은정혈액순배등，안전가고。
Objective to analyze and discuss dexmedetomidine given the clinical effects and safety of general anesthesia applications. Methods 72 patients according to the use of narcotic drugs which are divided into a different group will adopt a given dexmedetomidine (deX) were anesthetized and injected only with saline group B comparison. deX is used to observe the effect of general anesthesia and their safety. Results 72 patients under general anesthesia for surgery were successfully completed, and no arrhythmia, dizziness, fever and other adverse reactions. Which, given the use of dexmedetomidine group A patient's blood pressure, heart rate, SpO2 and other indicators are better than group B (P <0.05), while, ramsay score was also significantly better than group B. Compared with group B, the amount of anesthetic agent A group (such as remifentanil, propofol, etc.) is also small. Conclusion deX not only for general anesthesia with sedation, analgesia, anti-sympathetic effect, but also to reduce the use of fentanyl and propofol and other narcotic drugs, blood circulation stable, safe and reliable.