中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2014年
21期
152-153
,共2页
正颌%术后躁动%右美托咪定
正頜%術後躁動%右美託咪定
정합%술후조동%우미탁미정
OrthognathicSurgery%Postoperative restlessness%Dexmedetomidine
目的：观察右美托咪定预防正颌手术苏醒期躁动的效果。方法选择ASA分级I～Ⅱ级在丙泊酚复合瑞芬太尼、七氟醚静脉吸入全麻下行正颌手术的患者40例。随机分为对照组（C组）和右美托咪定（D组）组各20例。结果两组呼吸恢复时间、苏醒时间、拔管时间差异均无统计学意义，D组Ramsay镇静评分明显高于C组（P<0.05）。D组呛咳、躁动发生率明显低于C组（P<0.05）。两组在拔管后均未发生呼吸抑制。结论术中静脉注射右美托咪定是预防正颌手术全麻术后躁动的一个很好选择。
目的：觀察右美託咪定預防正頜手術囌醒期躁動的效果。方法選擇ASA分級I～Ⅱ級在丙泊酚複閤瑞芬太尼、七氟醚靜脈吸入全痳下行正頜手術的患者40例。隨機分為對照組（C組）和右美託咪定（D組）組各20例。結果兩組呼吸恢複時間、囌醒時間、拔管時間差異均無統計學意義，D組Ramsay鎮靜評分明顯高于C組（P<0.05）。D組嗆咳、躁動髮生率明顯低于C組（P<0.05）。兩組在拔管後均未髮生呼吸抑製。結論術中靜脈註射右美託咪定是預防正頜手術全痳術後躁動的一箇很好選擇。
목적：관찰우미탁미정예방정합수술소성기조동적효과。방법선택ASA분급I～Ⅱ급재병박분복합서분태니、칠불미정맥흡입전마하행정합수술적환자40례。수궤분위대조조（C조）화우미탁미정（D조）조각20례。결과량조호흡회복시간、소성시간、발관시간차이균무통계학의의，D조Ramsay진정평분명현고우C조（P<0.05）。D조창해、조동발생솔명현저우C조（P<0.05）。량조재발관후균미발생호흡억제。결론술중정맥주사우미탁미정시예방정합수술전마술후조동적일개흔호선택。
Objective observe the mi is set to prevent jaw surgery to the effect of agitation.Methods Choose ASA class I~Ⅱ in propofolsevoflurane vein compound fentanyl, inhalation anesthesia downlink is 40 cases of patients with jaw surgery. Were randomly divided into control group (group C) and right beauty holds the mi group (group D) 20 cases.ResultsThe two groups of breathing recovery time, wake up of time, no statisticaly significant difference were observed in the extubation time, Ramsay sedation score D group was obviously higher than that of group C (P<0.05). Group D choke to cough, agitation rate was lower than that in group C (P<0.05). In the two groups after extubationwere respiratory depression.ConclusionIntraoperative intravenous right beautiful mi set is to prevent the jaw surgery anesthesia is a very good selection of postoperative agitation.
