舒芬太尼右美托咪啶对妊娠心脏病患者全麻诱导期间血液动力学的影响

Sufentanil and Right Dexmedetomidine on pregnancy with heart disease during induction of general anesthesia on hemodynamics

目的探讨舒芬太尼联合右美托咪啶对妊娠心脏病患者全麻诱导期间血液动力学的影响。方法将40例通过全麻对行剖宫产手术的妊娠心脏病的患者随机分为两组。对照组按常规诱导进行麻醉,实验组即右美托咪啶组是在常规的基础上加用右美托咪啶。试验中需要记录行麻醉诱导前、后和气管插管后各时点的血流动力学变化。结果实验组的妊娠心脏病患者与对照组患者进行比较,实验组右美托咪啶组在给予右美托咪啶后各时点心率(HR)和平均动脉压(MAP)均低于对照组(P<0.05)。结论舒芬太尼联合右美托咪啶可以有效的抑制妊娠心脏病患者行剖宫产手术中由于全身麻醉诱导和术中气管插管所较容易导致的血流动力学异常。

Objective To explore the influence of Sufentanil and Right Dexmedetomidine on pregnancy with heart disease during induction of general anesthesia on hemodynamics.Methods 40 cases of anesthesia for cesarean section by pregnancy heart surgery were randomly divided into two groups.The control group were anesthetized by conventional induction,the experimental group that was Right Dexmedetomidine group were based on the was control group.Recorded the before anesthesia induction and tracheal intubation after the hemodynamic changes at each time point.Results The pregnancy of patients with heart disease compared with the control group,each time point after the heart rate（HR）and mean arterial pressure（MAP） were in experimental group ower than the control group（P〈0.05）.Conclusion Sufentanil combined the Right Dexmedetomidine can effectively inhibit pregnancy in heart disease patients with cesarean delivery and the induction of general anesthesia surgery easier tracheal intubation caused by abnormal hemodynamics.