CAJ | 학술논문

目的：研究在诱导同时复合小剂量右美托咪定短时间小剂量泵入对防止腹腔镜术后躁动的有效性。方法选40例ASAⅠ~Ⅱ级,年龄20~70岁腹腔镜下行胆囊切除、宫外孕、卵巢囊肿切除术等手术时间<30 min的患者随机分为两组D组和N组。D组在诱导同时辅以右美托咪定(0.5~0.8)μg/(kg·h),泵注10~15 min停,总量不超过50μg；N组常规诱导用药,观察两组患者术后拔管时间、Riker镇静和躁动评分(SAS)、躁动发生率的差别。结果两组拔管时间没有明显差异(P>0.05),D组的Riker镇静和躁动评分(SAS)分值明显低于N组(P<0.05),D组的躁动发生率明显低于N组(P<0.05)。结论在诱导同时辅以小剂量短时间右美托咪定可以有效防止腹腔镜术后躁动。
목적：연구재유도동시복합소제량우미탁미정단시간소제량빙입대방지복강경술후조동적유효성。방법선40례ASAⅠ~Ⅱ급,년령20~70세복강경하행담낭절제、궁외잉、란소낭종절제술등수술시간<30 min적환자수궤분위량조D조화N조。D조재유도동시보이우미탁미정(0.5~0.8)μg/(kg·h),빙주10~15 min정,총량불초과50μg；N조상규유도용약,관찰량조환자술후발관시간、Riker진정화조동평분(SAS)、조동발생솔적차별。결과량조발관시간몰유명현차이(P>0.05),D조적Riker진정화조동평분(SAS)분치명현저우N조(P<0.05),D조적조동발생솔명현저우N조(P<0.05)。결론재유도동시보이소제량단시간우미탁미정가이유효방지복강경술후조동。
Objective To research the efficacy of using low dose dexmedetomidine in short time to prevent restless after laparoscopic surgery. Methods Forty patients ASA grade ⅠorII,age 20~70 yeas old,scheduled for selective laparo-scopic cholecystectomy or ectopic pregnancy or oophorocystectomy etc,operation time about 30min,were randomly as-signed to low groupsgroup D and N. Group DIntravenous dexmedetomidine(0.5~0.8)μg/(kg·h) when we inducing,for 10~15 min,no more than 50 μg; Group Nno dexmedetomidine. Observed extubation tiwe after surgery,riker sedation and restless score(SAS),restless incidence rate. Results There was no obvious difference in the time of extract the tra-cheal tube (P>0.05). The SAS in group D was significantly lower than group N (P<0.05),incidence of restlessness of group D was significantly lower than N. Conclusion Intravenous low dose dexmedetomidine while inducing for short time can effectively prevent restlessness after Laparoscopic Surgery.