CAJ | 학술논문

目的：探讨右美托咪啶在功能性鼻内镜鼻窦手术患者麻醉复苏期中的应用效果。方法将40例行功能性鼻内镜鼻窦手术患者，于手术结束前15 min静脉输注右美托咪啶0．6滋g／kg，观察患者呛咳、疼痛及躁动情况。结果本组患者呛咳得分（1．2±0．5）分，视觉模拟评分（visual analogue scale， VAS）得分（1．9±0．5）分，躁动得分（1．2±0．4）分。结论对行功能性鼻内镜鼻窦手术患者，于手术结束前15 min静脉输注右美托咪啶，同时做好病情观察，控制给药速度，可使患者在麻醉复苏期处于较安静状态，顺利渡过麻醉复苏期。
목적：탐토우미탁미정재공능성비내경비두수술환자마취복소기중적응용효과。방법장40례행공능성비내경비두수술환자，우수술결속전15 min정맥수주우미탁미정0．6자g／kg，관찰환자창해、동통급조동정황。결과본조환자창해득분（1．2±0．5）분，시각모의평분（visual analogue scale， VAS）득분（1．9±0．5）분，조동득분（1．2±0．4）분。결론대행공능성비내경비두수술환자，우수술결속전15 min정맥수주우미탁미정，동시주호병정관찰，공제급약속도，가사환자재마취복소기처우교안정상태，순리도과마취복소기。
Objective To study the effect of dexmedetomidine in the functional endoscopic sinus surgery (FESS) on the recovery period of general anesthesia. Methods Fifteen min before the end of surgery, 40 FESS patients were treated with intravenous infusion of dexmedetomidine at 0.6μg/kg. The occurrence of cough response, degree of pain and agitation in patients were observed. Result The response score of choking cough of the patients with intravenous infusion of dexmedetomiindine was (1.2 ± 0.5), the score of VSA was (1.9 ± 0.5), and the degree of agitation was (1.2 ± 0.4). Conclusion For those undergoing FESS, postoperative use of dexmedetomidine 15 min before the end of surgery, can not only have an effective effect for reducing the incidence of choking cough and agitation and but also decrease the pain degree so that the patients can live through the general anesthesia recovery period.