摘要
目的研究右美托咪定（DEX）对地氟烷复合瑞芬太尼全麻患者在妇科腔镜手术的的影响。方法选择30例ASAⅠ-Ⅱ级全麻妇科手术患者,随机分为地氟烷组和右美托咪定＋地氟烷组各15例。观察两组病人在苏醒时和拔管时MAP、HR,术中瑞芬太尼的用量,苏醒时间,拔管时间和苏醒期躁动的发生率。结果右美托咪定＋地氟烷组瑞芬太尼的用量小于地氟烷组（P≤0.05）,苏醒时间和拔管时间差异及苏醒期躁动的发生率差异无显著性意义（P〉0.05）。结论右美托咪定能减少地氟烷全麻时瑞芬太尼的用量,不改变苏醒时间和拔管时间及苏醒期躁动的发生率。
Objective： To explore the influence of dexmedetomidine on the general anesthesia of desflurane combined with remifentanil for gynecological laparoscopic operation. Methods： Thirty patients scheduled for laparoscopic operation of gynaecology with general anesthesia were enrolled in this study,and the 30 patients were randomly divided into two groups.Patients were randomly assigned to receive desfluence or desfluence and dexmedetomidine for maintenance. We compared the incidence of emergence agitation,eye-open time,extubation time,and MBP and HR in the stage of analepsia.. Results： Patients who received dexmedetomidine sufferd less dosage of re-mifentanil,and incidence of emergence agitation,eye-open time,extubation time and MBP,HR in the stage of analepsia showed no signinficant variance among the two groups. Conclusion： Dexmedetomidine can reduce the dosage of remifentanil and does not chang the eye-open time and the extubation time and the incidence of emergence agitation..
出处
《泰山医学院学报》
CAS
2016年第1期21-23,共3页
Journal of Taishan Medical College
关键词
右美托咪定
地氟烷
苏醒期躁动
苏醒时间
拔管时间
瑞芬太尼
腹腔镜手术
dexmedetomidine
desfluran general anesthesia
eye-open time
extubation time
remifentnail
laparoscopic operation
