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右美托咪定在腰椎手术行椎管内麻醉的应用效果观察 被引量:6

The Effect of Dexmedetomidine Anesthesia in Surgery for Lumbar Spinal Canal
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摘要 目的 探究右美托咪定在腰椎手术行椎管内麻醉的应用效果。方法 选取我院2014年5月-2016年4月收治的56例腰椎间盘突出症及腰椎骨折患者,随机分为对照组与研究组,各28例。研究组予以右美托咪定椎管内麻醉,对照组予以咪达唑仑椎管内麻醉。观察两组患者镇痛效果及镇静效果。结果 研究组镇痛效果优于对照组,两组差异有统计学意义(P〈0.05);研究组麻醉后Ramsay评分均高于对照组,两组差异有统计学意义(P〈0.05)。结论 对实施腰椎手术行右美托咪定椎管内麻醉,可提高其镇静及镇痛效果,在临床研究中具有重要意义。 Objective To explore the application effect of dexmedetomidine anesthesia in surgery for lumbar spinal canal. Methods 56 cases of lumbar disc herniation and lumbar vertebrae fracture were treated in our hospital from May 2014 to April 2016,they were randomly divided into the control group and the study group,28 cases in each group.The study group was treated with dexmedetomidine intraspinal anesthesia,the control group was given midazolam intraspinal anesthesia. Analgesic effects and sedative effects of the two groups were observed. Results The analgesic effect of the study group was better than that of the control group,the difference between the two groups was statistically significant(P〈0.05). The Ramsay scores of the study group were higher than those in the control group,the difference between the two groups was statistically significant(P〈0.05). Conclusion The implementation of lumbar spine surgery with dexmedetomidine intraspinal anesthesia can significantly improve its sedative and analgesic effects and has an important significance in clinical studies.
作者 张青
出处 《中国卫生标准管理》 2016年第14期164-165,共2页 China Health Standard Management
关键词 右美托咪定 腰椎手术 椎管内麻醉 Dexmedetomidine Spinal surgery Spinal anesthesia
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  • 1曾水和,林世清.右美托咪啶辅助椎管内麻醉的镇静效果分析[J].中华临床医师杂志(电子版),2011,5(9):2707-2709. 被引量:38
  • 2邵新峰,邢玉英.右美托咪定在临床麻醉中应用的研究现状[J].中华临床医师杂志(电子版),2012,6(18):136-138. 被引量:24
  • 3皮铎波,余静,瞿巍巍,王志云,刘君君.咪唑安定伍用曲马多于硬膜外麻醉中清醒镇静的观察[J].浙江临床医学,2007,9(8):1141-1141. 被引量:2
  • 4王金珠 李玉梅.术前用哌替啶预防硬膜外阻滞后寒战.临床麻醉学杂志,2000,16(9):471-471.
  • 5Crossly AWA,Mahajan RP.The intensity of postoperative shivering isunrelated to aillary temperature[J].Anaesthesia,1994,49(Suppl):205-207.
  • 6Menigaux C,Guignard B,Fletcher D,et al.More epiduralthan intravenous sufentanil is required to provid comparablepostoperative pain relief[J].Anesth Analg,2001,93(3):472-477.
  • 7Donfas AG,Lin CM,Sdeman MI,et al.Dexmedetomidineand meperidine additively reduce the shivering threshold inhumans[J].Stroke,2003,34(5):1218-1223.
  • 8Biter A,Esmaoglu A,Akin A,et al.Dexmedetemidine and meperidineprevent postanaesthetic shivering[J].Euro J Annesth,2006,23(11):149-153.
  • 9Tobias JD.Bradycardia during dexmedetomidine and therapeutichypothermia[J].J Intensive Care Med,2008,23(6):403-408.
  • 10Pandharipande PP, Pun BT, Herr DL, et al. Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trial[J]. JAMA, 2007,298(22):2644-2653.

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