中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
24期
150-152
,共3页
全身麻醉%右美托咪定%丙泊酚%芬太尼
全身痳醉%右美託咪定%丙泊酚%芬太尼
전신마취%우미탁미정%병박분%분태니
General anesthesia%Dexmedetomidine%Propofol%Fentanyl
目的：探讨右美托咪定在全身麻醉中的应用价值。方法随机选取76例择期手术患者，分为研究组与对照组，每组各38例，研究组给予右美托咪定麻醉，对照组采用生理盐水辅助全身麻醉，10 min后输注丙泊酚、芬太尼进行全身麻醉诱导。结果研究组的丙泊酚、芬太尼用量均少于对照组，差异有统计学意义(P<0.05)；研究组在T1、T3时刻时的MAP、HR明显低于对照组，差异有统计学意义(P<0.05)；研究组的不良反应发生率为5.26%，明显低于对照组的21.05%，差异有统计学意义(P<0.05)。结论右美托咪定在全身麻醉中的镇静、镇痛效果明显，有利于稳定血流动力学，安全可靠，值得推广。
目的：探討右美託咪定在全身痳醉中的應用價值。方法隨機選取76例擇期手術患者，分為研究組與對照組，每組各38例，研究組給予右美託咪定痳醉，對照組採用生理鹽水輔助全身痳醉，10 min後輸註丙泊酚、芬太尼進行全身痳醉誘導。結果研究組的丙泊酚、芬太尼用量均少于對照組，差異有統計學意義(P<0.05)；研究組在T1、T3時刻時的MAP、HR明顯低于對照組，差異有統計學意義(P<0.05)；研究組的不良反應髮生率為5.26%，明顯低于對照組的21.05%，差異有統計學意義(P<0.05)。結論右美託咪定在全身痳醉中的鎮靜、鎮痛效果明顯，有利于穩定血流動力學，安全可靠，值得推廣。
목적：탐토우미탁미정재전신마취중적응용개치。방법수궤선취76례택기수술환자，분위연구조여대조조，매조각38례，연구조급여우미탁미정마취，대조조채용생리염수보조전신마취，10 min후수주병박분、분태니진행전신마취유도。결과연구조적병박분、분태니용량균소우대조조，차이유통계학의의(P<0.05)；연구조재T1、T3시각시적MAP、HR명현저우대조조，차이유통계학의의(P<0.05)；연구조적불량반응발생솔위5.26%，명현저우대조조적21.05%，차이유통계학의의(P<0.05)。결론우미탁미정재전신마취중적진정、진통효과명현，유리우은정혈류동역학，안전가고，치득추엄。
Objective To explore the clinical value of dexmedetomidine in general anesthesia. Methods 76 patients selected operation were randomly divided into research group and control group,each group of 38 cases.The research group was anesthesia by dexmedetomidine,the control group was anesthesia by physiological saline auxiliary general anesthesia.Intravenous infusion of propofol fentanyl after 10 min to carry on the induction of general anesthesia. Re-sults The dosage of propofol and fentanyl in the research group were lower than the control group (P<0.05).The MAP, HR in the time T1,T3 in the research group were lower than those of the control group (P<0.05).The adverse effects rate of the research group (5.26%) was lower than the control group (21.05%) (P<0.05). Conclusion In the general anesthe-sia,dexmedetomidine can sedation and analgesia,it can conducive to stable hemodynamics,safety.It is value to promotion.
