摘要
目的探讨在喉罩置入诱导中应用右美托咪定的临床镇静效果。方法对90例需在喉罩置入下全麻的患者诱导时随机分为3组(各30例),H1组:右美托咪定组;H2组:咪唑安定组;H0组:丙泊酚组。分别记录并对比诱导前、诱导后但在喉罩置入前、喉罩置入即时、喉罩置入后1分钟的血压波动情况、脑电双频指数(Bispectral Index,BIS)和诱导时呛咳、呕吐等不良反应。结果 H1组在喉罩置入诱导中对血压波动影响较H0组小,虽镇静程度H1组不如H0组深,但H1组能达到麻醉镇静状态。结论右美托咪定在喉罩置入诱导中能够起到有效的镇静作用,且血压波动小,可以安全地应用于麻醉诱导。
Objective To discuss the clinical sedation effect in laryngeal mask induction with Dexmedetomidine. Methods 90 cases general anesthesia patients with laryngeal mask randomly divided into three groups（every group 30 cases）.Group H1： group Dexmedetomidine.Group H2： group Midazolam.Group H0： group Propofol.Respectively record and compared the blood pressure fluctuation and bispectral index at pre-induction,after induction and before laryngeal mask into,laryngeal mask into,after 1 minute of laryngeal mask into.Respectively record and compared the adverse reaction at induction. Results The blood pressure fluctuation of group H1 at laryngeal mask induction was less than group H0.Sedation profundity of group H1 at laryngeal mask induction was shallow than group H0.But group H1 could achieve anesthesia sedation state. Conclusion It could obtained effective sedation effect in laryngeal mask induction with Dexmedetomidine.And the blood pressure fluctuation less than else anaesthetic.Dexmedetomidine could safely used in anesthesia induction.
出处
《现代医院》
2012年第4期37-39,共3页
Modern Hospitals
基金
佛山市科技计划项目(编号:201008180)
关键词
右美托咪定
麻醉诱导
喉罩
镇静
Dexmedetomidine
Anesthesia induction
Laryngeal mask
Sedation
