摘要
目的本次试验将分析右美托咪定不同给药方式下对妇科腹腔镜手术患者的麻醉效果,更好地为临床治疗提供服务。方法本次试验选取了2019年1月至2019年6月前来本院进行疾病检查及治疗的患者为对象,经过专业的科室检查,其需要开展手术治疗。在自愿参与试验调查的患者中,采用硬币随机法,对62例患者进行麻醉状况讨论。观察组患者采用单纯注射右美托咪定的方式,对照组则为持续注射右美托咪定的方式,分析麻醉成效。结果从麻醉情况上看,观察组患者的拔管时间和苏醒时间分别为(16.89±4.53)min和(3.68±1.45)h,对照组为(22.15±4.85)min和(4.87±1.52)h,组间对比差异较为显著,具有统计学意义(P<0.05)。与此同时,在OAA/S的评分上,观察组患者为(4.75±1.24)分,对照组患者则为(3.21±0.89)分,以观察组患者表现更优。除此之外,在气腹40 min后,观察组的心率和平均动脉压指标分别为(75.36±17.19)次/分和(94.05±9.56)mm Hg,对照组则为(84.54±11.23)次/分和(98.56±8.36)mm Hg。最后,则为麻醉不良反应的发生率,即观察组为12.90%(4/31),明显优于对照组的25.81%(8/31),包括了心动过缓、恶心呕吐、心动过速以及寒颤,因此,我们认为观察组麻醉给药方式更佳。结论采用单次静脉注射右美托咪定的方式更加适用于妇科腹腔镜手术患者,其可以缩短苏醒时间和拔管时间,有利于患者血流动力学的稳定发挥,并可以控制不良反应事件,具有积极的推广意义。
Objective This experiment will analyze the anesthesia effect of dexmedetomidine under different administration modes on patients undergoing gynecological laparoscopic surgery,so as to provide better services for clinical treatment.Methods From January 2019 to June 2019,the patients who came to our hospital for disease examination and treatment were selected as the objects of this experiment.After professional department examination,they need to carry out surgical treatment.Among the patients who voluntarily participated in the experimental investigation,62 patients were randomly divided into two groups.The patients in the observation group were injected with dexmedetomidine alone,while the patients in the control group were injected with dexmedetomidine continuously.Results In terms of anesthesia,the extubation time and recovery time in the observation group were(16.89±4.53)min and(3.68±1.45)h,respectively,and those in the control group were(22.15±4.85)min and(4.87±1.52)h,respectively.There was a significant difference between the two groups(P<0.05).At the same time,in OAA/S score,the observation group patients were(4.75±1.24)points,the control group patients were(3.21±0.89)points,in order to better performance of the observation group patients.In addition,after 40 minutes of pneumoperitoneum,the heart rate and average arterial pressure of the observation group were(75.36±17.19)times/min and(94.05±9.56)mm Hg,respectively,while those of the control group were(84.54±11.23)times/min and(98.56±8.36)mm Hg.Finally,the incidence of adverse reactions was 12.90%(4/31)in the observation group,which was significantly better than 25.81%(8/31)in the control group,including bradycardia,nausea and vomiting,tachycardia and shiver.Therefore,we think the anesthesia administration mode in the observation group is better.Conclusion Single intravenous injection of dexmedetomidine is more suitable for patients undergoing gynecological laparoscopic surgery.It can shorten the recovery time and extubation time,facilitate the st
作者
吕艳辉
LYU Yanhui(Jianping County Hospital,Chaoyang 122400,China)
出处
《中国医药指南》
2021年第21期25-26,共2页
Guide of China Medicine
关键词
右美托咪定
给药方式
妇科
腹腔镜手术
麻醉效果
Dexmedetomidine
Administration method
Gynecology
Laparoscopic surgery
Anesthesia effect
