摘要
目的 分析右美托咪定在腰硬联合麻醉中的可行性以及对患者血压以及麻醉效果的影响。方法 方便选取2022年4月—2023年4月莆田滨海医院收治的62例骨科手术患者为研究对象,按照随机数表法分为对照组和观察组,每组31例,其中观察组患者采用右美托咪定麻醉,对照组患者采用常规麻醉方法,比较两组患者的麻醉效果与血压值变化情况。结果 两组患者术前血压比较,差异无统计学意义(P>0.05);但观察组患者给药30 min与给药60 min的血压均高于对照组,差异有统计学意义(P均<0.05);两组患者的镇痛效果比较,观察组患者术后30 min和术后3、6、12 h的视觉模拟评分(Visual Analogue Scale,VAS)分别为(3.01±0.41)分、(4.24±0.35)分、(4.11±0.37)分、(3.76±0.25)分均低于对照组,差异有统计学意义(t=4.738、5.194、5.747、8.697,P均<0.05);比较两组患者的认知功能评分以及睡眠质量评分,观察组均优于对照组,且观察组患者术后不良事件发生率更低,差异有统计学意义(P均<0.05)。结论 在骨科疾病患者外科干预阶段,选择正确的麻醉具有可行性,而腰硬联合麻醉阶段采用右美托咪定成为提升麻醉效果的关键,具有可行性。
Objective To analyze the feasibility of dexmedetomidine in lumbo-epidural anesthesia and its influence on patients' blood pressure and anesthesia effect.Methods A total of 62 orthopedic surgery patients admitted to Putian Binhai Hospital from April 2022 to April 2023 were conveniently selected as the study objects,and divided into control group and observation group,31 patients in each group,according to random number table method.Patients in the observation group were anesthetized with dexmedetomidine,while patients in the control group were anesthetized with conventional anesthesia.The anesthetic effect and blood pressure changes of the two groups were compared.Results There was no significant difference in preoperative blood pressure between the two groups(P>0.05).However,the blood pressure of 30 min and 60 min of administration in observation group was higher than that of control group,and the differences were statistically significant(both P<0.05).The analgesic effect of the two groups was compared.Visual Analogue Scale(VAS) of patients in the observation group 30 min and 3,6,12 hours after surgery were(3.01±0.41) points,(4.24±0.35) points,(4.11±0.37) points and(3.76±0.25) points,which were lower than the control group,and the differences were statistically significant(t=4.738,5.194,5.747,8.697,all P<0.05).The cognitive function scores and sleep quality scores of the two groups were compared,and the observation group was better than the control group,and the incidence of postoperative adverse events in the observation group was lower,and the differences were statistically significant(all P<0.05).Conclusion In the stage of surgical intervention for patients with orthopedic diseases,it is feasible to select the correct anesthesia,and dexmedetomidine is the key to improve the anesthetic effect in the stage of lumbo-epidural epidural anesthesia,which is feasible.
作者
黄奇龙
池玉林
马逸
HUANG Qilong;CHI Yulin;MA Yi(Department of Anesthesiology,Putian Binhai Hospital,Putian,Fujian Province,351253 China)
出处
《中外医疗》
2023年第36期105-108,共4页
China & Foreign Medical Treatment
关键词
骨科手术麻醉
腰硬联合麻醉
右美托咪定
麻醉效果
血压
Orthopedic surgery anesthesia
Lumbo~epidural anesthesia
Dexmedetomidine
Anesthetic effect
Blood pressure
作者简介
黄奇龙(1987-),男,本科,主治医师,研究方向为麻醉方向。
