国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
8期
1111-1113
,共3页
右美托咪啶%神经外科%全身麻醉%苏醒期躁动
右美託咪啶%神經外科%全身痳醉%囌醒期躁動
우미탁미정%신경외과%전신마취%소성기조동
Dexmedetomidine%Neurosurgery%General anesthesia%Emergence agitation
目的 探讨神经外科手术患者应用右美托咪定对全身麻醉后苏醒期躁动(EA)的相关影响.方法 本次选取神经外科手术患者80例,均为我院2013年7月至2014年9月收治,随机分组,就常规麻醉诱导及术中处理(对照组,n=40)与围麻醉期加用右美托咪啶(观察组,n=40)效果展开对比.结果 观察组血压、心率在吸痰时、管道拔除前、管道拔除后5 min与对照组比较差异有统计学意义(P＜0.05).呼吸恢复、唤醒、管道拔除时间两组比较差异无统计学意义(P＞0.05).观察组躁动率为15％,遗忘率为67.5％,对照组分别为82.5％、27.5％,两组比较差异有统计学意义(P＜0.05).结论 神经外科手术患者加用右美托咪定,可降低全麻后苏醒期躁动率,保障手术顺利实施,具有非常积极的应用价值.
目的 探討神經外科手術患者應用右美託咪定對全身痳醉後囌醒期躁動(EA)的相關影響.方法 本次選取神經外科手術患者80例,均為我院2013年7月至2014年9月收治,隨機分組,就常規痳醉誘導及術中處理(對照組,n=40)與圍痳醉期加用右美託咪啶(觀察組,n=40)效果展開對比.結果 觀察組血壓、心率在吸痰時、管道拔除前、管道拔除後5 min與對照組比較差異有統計學意義(P＜0.05).呼吸恢複、喚醒、管道拔除時間兩組比較差異無統計學意義(P＞0.05).觀察組躁動率為15％,遺忘率為67.5％,對照組分彆為82.5％、27.5％,兩組比較差異有統計學意義(P＜0.05).結論 神經外科手術患者加用右美託咪定,可降低全痳後囌醒期躁動率,保障手術順利實施,具有非常積極的應用價值.
목적 탐토신경외과수술환자응용우미탁미정대전신마취후소성기조동(EA)적상관영향.방법 본차선취신경외과수술환자80례,균위아원2013년7월지2014년9월수치,수궤분조,취상규마취유도급술중처리(대조조,n=40)여위마취기가용우미탁미정(관찰조,n=40)효과전개대비.결과 관찰조혈압、심솔재흡담시、관도발제전、관도발제후5 min여대조조비교차이유통계학의의(P＜0.05).호흡회복、환성、관도발제시간량조비교차이무통계학의의(P＞0.05).관찰조조동솔위15％,유망솔위67.5％,대조조분별위82.5％、27.5％,량조비교차이유통계학의의(P＜0.05).결론 신경외과수술환자가용우미탁미정,가강저전마후소성기조동솔,보장수술순리실시,구유비상적겁적응용개치.
Objective To investigate the influence of dexmedetomidine on the occurrence of emergence agitation after general anesthesia in neurosurgery patients.Methods 80 neurosurgery patients in our hospital from July 2013 to September 2014 were randomly divided into control group and observation group,40 cases in each group.Control group received conventional anesthesia induction and intraoperative treatment,and observation group received dexmedetomidine during anesthesia on the basis of control group.Compared clinical efficacy of two groups.Results There were statistically significant differences in blood pressure and heart rate when aspirating sputum,before removing the tube and 5 min after removing the tube between two groups (P＜0.05),no statistically significant differences in the time of breath recovery,arousing and removing the tube (P＞0.05).The restlessness rate of observation group was 15 ％,the forgetting rate was 67.5％,those of control group were 82.5％ and 27.5％ respectively,with statistically significant differences (P＜0.05).Conclusion The application of dexmedetomidine for neurosurgery patients can reduce the rate of emergence agitation after general anesthesia,and ensure smooth implementation of the operation,which has a very positive application value.
