摘要
目的:分析盐酸右美托咪定运用在老年患者膝关节镜手术腰麻联合硬膜外麻醉中的效果。方法:选取笔者所在医院2014年1月-2017年1月收治96例老年膝关节镜手术患者,随机分为两组,两组麻醉方式均为腰麻联合硬膜外麻醉,术中给予观察组患者盐酸右美托咪定静脉泵注,给予对照组患者生理盐水静脉泵注,对比两组麻醉效果。结果:相对于对照组,观察组Ramsay镇静评分与VAS评分低,术后麻醉恢复时间与神经阻滞时间短,麻醉不良反应发生率低,差异均有统计学意义(P<0.05)。结论:膝关节镜手术腰麻联合硬膜外麻醉中应用盐酸右美托咪定的效果显著,值得推广。
Objective： To analyze the use of Dexmedetomidine Hydrochloride anesthesia on spinal anesthesia combined with epidural anesthesia in elderly patients undergoing knee arthroscopy.Method： From January 2014 to January 2017, in our hospital 96 elderly patients with knee arthroscopy were randomly divided into two groups, two groups of anesthesia methods for spinal anesthesia combined with epidural anesthesia during the operation.The observation group was given Dexmedetomidine Hydrochloride intravenous infusion, the control group was given normal Saline intravenous infusion, two groups of anesthesia were compared.Result： Compared with the control group, the observation group Ramsay sedation score and VAS score were lower, postoperative recovery time of anesthesia and nerve block anesthesia time were shorter, incidence of adverse reactions was lower（P〈0.05）.Conclusion： Dexmedetomidine Hydrochloride anesthesia on spinal anesthesia combined with epidural anesthesia in elderly patients undergoing knee arthroscopy is effective and worthy of promotion.
作者
叶东婷
王建科
王爱丽
YE Dongting, WANG Jianke, WANG Aili(Dangyang City People＇s Hospital, Dangyang444100, Chin)
出处
《中外医学研究》
2018年第8期18-19,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
盐酸右美托咪定
膝关节镜手术
腰麻联合硬膜外麻醉
Dexmedetomidine Hydrochloride
Knee arthroscopy
Spinal anesthesia combined with epidural anesthesia
