| 摘要: |
| ［摘要］ 目的 观察右美托咪定两种给药方式在妇科腹腔镜手术中的麻醉效果。方法 选择该院2013-12～2014-12收治的子宫肌瘤剔除术患者100例为研究对象，根据给药方式的不同分为观察组和对照组，各50例。观察组应用右美托咪定单次静脉注射，对照组应用右美托咪定持续静脉注射，比较两组拔管时间、麻醉后监测治疗室停留时间、定向力的恢复时间与不良反应发生率。结果 观察组拔管时间、麻醉后监测治疗室停留时间、定向力的恢复时间均短于对照组（P<0.05）；两组建立气腹前平均动脉压与心率比较,差异无统计学意义（P>0.05）。观察组建立气腹后5 min、10 min、20 min、40 min的平均动脉压和心率均明显低于对照组（P<0.05）；观察组不良反应发生率明显低于对照组（P<0.05）。结论 单次静脉注射右美托咪定在妇科腹腔镜手术中的麻醉效果显著，不但可缩短拔管时间、麻醉后监测治疗室停留时间，还有助于定向力的恢复，使术中患者生命体征保持稳定，而且可降低不良反应发生率，保障患者生命健康安全，值得临床应用与推广。 |
| 关键词: 右美托咪定 给药方式 妇科腹腔镜手术 麻醉效果 |
| DOI：10.3969/j.issn.1674-3806.2016.11.14 |
| 分类号:R 614 |
| 基金项目: |
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| The anesthetic effects of two types of drug delievery of dexmedetomidine on gynecological laparoscopic surgery |
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SONG Guan-zhong, ZHU Xiao-mei, AN Xiao-jie
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Department of Anesthesidogy, Longtianjinqiu Maternity Hospital of Qingdao City, Shandong 266071, China
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| Abstract: |
| ［Abstract］ Objective To study the anesthetic effects of two types of drug delievery of dexmedetomidine on gynecologic laparoscopic surgery.Methods One hundred patients on whom hysteromyomectomy was performd in our hospital from December 2013 to December 2014 were divided into group A and group B, with 50 cases in each group. Group A received single intravenous injection of dexmedetomidine orders intravenous injection, group B received continuous intravenous injection of dexmedetomidine. The extubation time,the time for staying in postanesthetic care unit, the recovery time of orientation and adverse reactions were compared between the two groups.Results The extubation time, the time for staying in postanesthetic care unit and the recovery time of orientation in group A were significantly shorter than those in group B(P<0.05). There were no significant diffirerences in the mean arterial pressure and heart rate between the two groups(P>0.05). The mean arterial pressure and heart rate of group A were significantly less than those of group B at the time points of 5, 10, 20 and 40 min after establishing the pneumoperitoneum(P>0.05). The incidence of adverse events in group A was significantly lower than that in group B(P<0.05).Conclusion A single intravenous injection of dexmedetomidine is safe and effective for anesthesia in gynecologic laparoscopic surgery. |
| Key words: Dexmedetomidine Drug delivery Laparoscopic surgery Anesthetic effect |
