摘要
目的右美托咪定在老年食管癌患者术后自控镇痛中的应用效果分析。方法选取2015年4月—2016年4月在我院行食管癌根治术的96例老年患者作为研究对象,随机将其分为对照组与观察组,每组各48例。对照组实施常规硬膜外麻醉自控镇痛,观察组实施常规硬膜外自控镇痛基础上加用右美托咪定以维持清醒镇静,比较两组患者术后24 h疼痛评分。结果观察组术后8 h、12 h、24 h疼痛评分均低于对照组,组间对比,差异具有统计学意义(P<0.05)。结论右美托咪定能显著缓解食管癌根治术后患者疼痛,促进患者生活质量改善。
Objective To analyze the application effect of dexmedetomidine in elderly patients with esophageal cancer in postoperative analgesia. Methods From April 2015 to April 2016, 96 cases of elderly patients with radical resection of esophageal cancer in our hospital were selected as the research object and were randomly divided into control group and observation group, 48 cases in each group. The control group received routine epidural anesthesia, the observation group received routine epidural analgesia plus to maintain sedation with dexmedetomidine, the 24 h pain score was compared between two groups. Results The observation group after 8 h, 12 h, 24 h pain score were lower than the control group, between groups, the difference was statistically significant（P〈0.05）. Conclusion Dexmedetomidine can significantly relieve pain in patientsafter radical resection of esophageal carcinoma, which can improve the quality of life of patients.
作者
王小艳
WANG Xiaoyan(Department of Anesthesiology, Traditional Chinese Medicine Hospital of Xintai City, Xintai Shandong 271299, China)
出处
《中国继续医学教育》
2017年第3期63-64,共2页
China Continuing Medical Education
关键词
右美托咪定
食管癌
自控镇痛
dexmedetomidine
esophageal cancer
patient-controlled analgesia
