摘要
目的:探讨右美托咪定联合地佐辛对老年高血压手术患者全身麻醉苏醒期躁动的影响。方法:选择老年高血压手术患者68例,随机分为观察组和对照组。两组患者均行全身麻醉,手术结束前60 min,对照组给予地佐辛,观察组给予右美托咪定和地佐辛。观察两组患者手术情况,记录两组患者苏醒期间躁动、高血压和心动过缓发生情况。结果:两组患者麻醉成功,手术顺利。观察组无躁动发生率高于对照组,观察组轻度躁动发生率低于对照组,差异有统计学意义(P<0.05)。观察组苏醒期间高血压发生率低于对照组,差异有统计学意义(P<0.05)。结论:右美托咪定联合地佐辛能够减少老年高血压手术患者全身麻醉苏醒期躁动发生率,效果显著。
Objective To explore the effects of dexmedetomidine combined with dezocine in elderly hypertensive patients of restlessness during anesthesia recovery period. Method 68 elderly patients with hypertension surgery were selected and randomly divided into the observation group and the control group. The two groups of patients underwent general anesthesia,60 minutes before the end of surgery,the control group was given dezocine,the observation group was given dexmedetomidine and dezocine. The operation of the two groups was observed. The restlessness,the occurrence of hypertension and bradycardia of the two groups was recorded during the recovery period. Results The anesthesia of two groups was successful and the operation was successful. The incidence of restlessness in the observation group was higher than that in the control group,and the incidence of mild agitation in the observation group was lower than that in the control group,and the difference was statistically significant（ P〈 0. 05）. The incidence of hypertension in the observation group was lower than that in the control group,and the difference was statistically significant（ P〈 0. 05）. Conclusion Dexmedetomidine combined with dezocine in elderly hypertensive patients can reduce the incidence of emergence agitation,the effect is significant.
出处
《吉林医学》
CAS
2017年第10期1849-1851,共3页
Jilin Medical Journal
基金
清远市科技局计划项目[编号:2014B037]
