中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
11期
104-105
,共2页
右美托咪啶%全麻%寒战
右美託咪啶%全痳%寒戰
우미탁미정%전마%한전
Dexmedetomidine%General anesthesia%Shivering
目的：探讨右美托咪啶辅助在降低全麻病人麻醉后寒战发生率中的作用研究。方法该研究于2013年1月—2013年12月对在该院择期接受腹部外科手术治疗的患者按照数字表法随机分为研究组和对照组,其中研究组在麻醉诱导后给予右美托咪啶,而对照组则给予咪唑安定,比较两组患者术后寒战发生率。结果研究组和对照组患者在麻黄碱、去氧肾上腺素等辅助药物上无明显差异(t=1.02、0.10,P>0.05)。研究组患者的术后寒战发生率(16.67%)明显低于对照组(53.37%),且差异具有统计学意义(c2=8.86,P<0.05)。研究组患者的疼痛VAS评分[(3.42±0.75)分]明显低于对照组[(4.69±0.88)分],且差异具有统计学意义(t=5.13,P<0.05)。结论右美托咪啶静脉注射,具备有效的镇静、镇痛作用,预防全麻患者术后寒战发生的效果优于咪唑安定,值得临床推广使用。
目的：探討右美託咪啶輔助在降低全痳病人痳醉後寒戰髮生率中的作用研究。方法該研究于2013年1月—2013年12月對在該院擇期接受腹部外科手術治療的患者按照數字錶法隨機分為研究組和對照組,其中研究組在痳醉誘導後給予右美託咪啶,而對照組則給予咪唑安定,比較兩組患者術後寒戰髮生率。結果研究組和對照組患者在痳黃堿、去氧腎上腺素等輔助藥物上無明顯差異(t=1.02、0.10,P>0.05)。研究組患者的術後寒戰髮生率(16.67%)明顯低于對照組(53.37%),且差異具有統計學意義(c2=8.86,P<0.05)。研究組患者的疼痛VAS評分[(3.42±0.75)分]明顯低于對照組[(4.69±0.88)分],且差異具有統計學意義(t=5.13,P<0.05)。結論右美託咪啶靜脈註射,具備有效的鎮靜、鎮痛作用,預防全痳患者術後寒戰髮生的效果優于咪唑安定,值得臨床推廣使用。
목적：탐토우미탁미정보조재강저전마병인마취후한전발생솔중적작용연구。방법해연구우2013년1월—2013년12월대재해원택기접수복부외과수술치료적환자안조수자표법수궤분위연구조화대조조,기중연구조재마취유도후급여우미탁미정,이대조조칙급여미서안정,비교량조환자술후한전발생솔。결과연구조화대조조환자재마황감、거양신상선소등보조약물상무명현차이(t=1.02、0.10,P>0.05)。연구조환자적술후한전발생솔(16.67%)명현저우대조조(53.37%),차차이구유통계학의의(c2=8.86,P<0.05)。연구조환자적동통VAS평분[(3.42±0.75)분]명현저우대조조[(4.69±0.88)분],차차이구유통계학의의(t=5.13,P<0.05)。결론우미탁미정정맥주사,구비유효적진정、진통작용,예방전마환자술후한전발생적효과우우미서안정,치득림상추엄사용。
Objective To explore the effects of dexmedetomidine-assisted in decreasing the incidence of shivering after patients with general anesthesia. Methods From January 2013 to December 2013, patients who electively accepted the abdominal surgical operation treatment in our hospital were divided into study group and control group according to randomly numeration table. The study group after induction of anesthesia administered dexmedetomidine, while the control group were given midazolam. Compared the incidence of shivering after anesthesia between the two groups.Results The study group and the control group had no significant difference in ephedrine, phenylephrine and other auxiliary drugs(t=1.02, 0.10,P>0.05). Incidence of postoperative shivering in the study group (16.67%) was significantly lower than that of control group(53.37%), and the difference was statistically significant(c2=8.86,P<0.05). Pain VAS score of the study group [(3.42 ± 0.75) points] was significantly lower than that of control group [(4.69 ± 0.88) points], and the difference was statistically significance(t=5.13,P<0.05).Conclusion Dexmedetomidine intravenous injection, not only has a sedative and analgesic effect, but also the occurrence of shivering after general anesthesia is better than midazolam. It is worthy of clinical promotion.
