期刊文献+

对冠心病患者全身麻醉使用右美托咪定的疗效观察 被引量:5

To Observe the Curative Effect of Dextomidine in General Anesthesia in Patients With Coronary Heart Disease
下载PDF
导出
摘要 目的观察与探究冠心病患者全身麻醉使用右美托咪定的疗效。方法选取2014年3月—2017年3月于本院就诊及行全身麻醉手术治疗的60例冠心病患者作为研究对象。将其随机分为两组,每组各30例。对观察组麻醉诱导前给予右美托咪定,对对照组麻醉诱导前给予等量生理盐水,对比并分析两组患者的疗效。结果观察组患者的T2、T3时的舒张压水平、收缩压水平、心率与对照组患者相对比,差异具有统计学意义(P<0.05);观察组患者的麻醉苏醒时间与对照组患者相对比,差异不具有统计学意义(P>0.05)。结论对冠心病患者全身麻醉使用右美托咪定的效果较好。 Objective To observe the curative effect of dextomidine in general anesthesia in patients with coronary heart disease. Methods 60 patients with coronary heart disease treated in our hospital from March 2014 to March 2017 were enrolled in this study. The patients were randomly divided into two groups, 30 cases in each group. Dexmedetomidine was given to the observation group before induction of anesthesia, the control group was given the same amount of normal saline before the induction of anesthesia, and the efficacy of the two groups was compared and analyzed. Results The diastolic blood pressure, systolic blood pressure and heart rate of the patients in the observation group were similar to those of the control group (P〈0.05) when compared with the control group at T2, T3. The anesthetic recovery time of the observation group was compared with that of the control group, the difference was not statistically significant (P 〉 0.05). Conclusion The effect of dexmedetomidine on general anesthesia in patients with coronary heart disease is better.
作者 赵秀梅 李杰 唐若皓 周钰衡 彭先兰 朱长江 ZHAO Xiumei LI Jie TANG Ruohao ZHOU Yuheng PENG Xianlan ZHU Changjiang(Department of Anesthesiology, Chongqing People's Hospital at Jiulongpo District, Chongqing 400051, China)
出处 《中国继续医学教育》 2017年第17期88-89,共2页 China Continuing Medical Education
关键词 冠心病 全身麻醉 右美托咪定 疗效 coronary heart disease general anesthesia dextroidine the curative effect
  • 相关文献

参考文献5

二级参考文献43

  • 1徐美英,吴德华.心脏病患者非心脏手术的麻醉进展[J].中国继续医学教育,2010,2(4):52-60. 被引量:5
  • 2胡双飞,钱军,严蔚.舒芬太尼用于高血压病人肺切除术后镇痛的效应[J].中华麻醉学杂志,2005,25(11):855-856. 被引量:31
  • 3Boo H H,Wang Y L,Yoon H K,et al.Effects of intraoperative low dose ketamine on remifentanil-induced hyperalgesia in gynecologic surgery with sevoflurane anesthesia[J].Korean J Anesthesiol,2011,61(3):238-243. 被引量:1
  • 4Kingery W S,Guo T Z,Davies M F,et al.The alpha(2A)adrenoceptor and the sympathetic postganglionic neuron contribute to the development of neuropathic heat hyperalgesia in mice[J].Pain,2000,85(1):345-358. 被引量:1
  • 5Limberi S,Markou N,Sakayianni K,et al.Coronary artery disease and upper abdomimal sugery:impact of anesthesia on perioperative myocardial ischemia[J].Hepatogastroenterology,2003,50(2):1814-1820. 被引量:1
  • 6Scott L J,Perry C M.Remifentanil:a review of its use during the induction and maintenance of general anaesthesia[J].Drugs,2005,65(13):1793-1823. 被引量:1
  • 7Joly V,Richebe P,Guignard B,et al.Remifentanil induced postoperative hyperalgesia and its prevention with small dose ketamine[J].Anesthesiology,2005,103(2):147-155. 被引量:1
  • 8Trafton J A,Abbadie C,Marek K,et al.Postsynaptic signaling via the u-opioid receptor:Responses of dorsal horn neurons to exogenous opioids and noxious stimulation[J].J Neurosci,2000,20(23):8578-8584. 被引量:1
  • 9Borgland S L.Acute opioid receptor desensitization and tolerance:isthere a link[J].Clin Exp Pharmacol Physiol,2011,28(3):147-154. 被引量:1
  • 10Dirks J,Miniche S,Hilsted K L,et al.Mechanisms of postoperafive pain:clinical indications for a contribution of central neuronal sensitization[J].Anesthesiology,2002,97(4):1591-1596. 被引量:1

共引文献52

同被引文献17

引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部