中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
11期
70-71
,共2页
右美托咪定%麻醉苏醒%乳腺癌根治术
右美託咪定%痳醉囌醒%乳腺癌根治術
우미탁미정%마취소성%유선암근치술
Dexmedetomidine%Anesthesia%Radical mastectomy for breast cancer
目的：探讨右美托咪定(DEX)对乳腺癌根治术患者麻醉苏醒质量的影响。方法选取该院于2012年9月—2013年6月收治的60例限期行乳腺癌根治术患者随机分为两组(n=30)：研究组静脉泵注DEX 0.5μg/kg,10 min后按0.5μ/(kg·h)恒速注药；对照组匀速输入等量盐水。记录清醒时(T1)、拔管即刻(T2)、拔管后5 min (T3)、10 min (T4)的镇静-躁动评分(SAS)和Ramsay镇静评分。结果与对照组比较,研究组患者术后SAS和Ramsay评分于T1-T4时降低(P<0.05)。研究组患者躁动发生率及依从性与对照组比较差异有统计学意义(P<0.05)。结论 DEX用于乳腺癌根治术患者,有较好的镇静镇痛作用,可提高患者的依从性。
目的：探討右美託咪定(DEX)對乳腺癌根治術患者痳醉囌醒質量的影響。方法選取該院于2012年9月—2013年6月收治的60例限期行乳腺癌根治術患者隨機分為兩組(n=30)：研究組靜脈泵註DEX 0.5μg/kg,10 min後按0.5μ/(kg·h)恆速註藥；對照組勻速輸入等量鹽水。記錄清醒時(T1)、拔管即刻(T2)、拔管後5 min (T3)、10 min (T4)的鎮靜-躁動評分(SAS)和Ramsay鎮靜評分。結果與對照組比較,研究組患者術後SAS和Ramsay評分于T1-T4時降低(P<0.05)。研究組患者躁動髮生率及依從性與對照組比較差異有統計學意義(P<0.05)。結論 DEX用于乳腺癌根治術患者,有較好的鎮靜鎮痛作用,可提高患者的依從性。
목적：탐토우미탁미정(DEX)대유선암근치술환자마취소성질량적영향。방법선취해원우2012년9월—2013년6월수치적60례한기행유선암근치술환자수궤분위량조(n=30)：연구조정맥빙주DEX 0.5μg/kg,10 min후안0.5μ/(kg·h)항속주약；대조조균속수입등량염수。기록청성시(T1)、발관즉각(T2)、발관후5 min (T3)、10 min (T4)적진정-조동평분(SAS)화Ramsay진정평분。결과여대조조비교,연구조환자술후SAS화Ramsay평분우T1-T4시강저(P<0.05)。연구조환자조동발생솔급의종성여대조조비교차이유통계학의의(P<0.05)。결론 DEX용우유선암근치술환자,유교호적진정진통작용,가제고환자적의종성。
Objective To investigate the effects of dexmedetomidine (DEX) radical effects of anesthesia recovery quality in patients of breast cancer.Methods Select the hospital from 2012 September to 2013 June treated 60 patients undergoing radical mastectomy for breast cancer patients were randomly divided into two groups(n=30):a study group of intravenous infusion of DEX 0.5 g/(kg·h),10 min after 0.5 g/kg/h constant speed injection; the control group with saline uniform input. Recording awake extubation (T1), immediately after extubation (T2), 5 min (T3), 10 min (T4) of the sedation agitation scale (SAS) and Ramsay sedation score.Results Compared with the control group, the study group of patients with postoperative SAS and Ramsay score in T1-T4 decreased (P<0.05). Study group patients with restless difference comparison of the incidence of and compliance with the control group were statistically significant (P<0.05). Conclusion DEX radical operation for breast cancer patients, has good sedative effect, can improve patient compliance.
