摘要
目的：探讨右美托咪定在老年患者腰一硬联合麻醉中的镇静效果，为临床麻醉提供更好的镇静方案。方法：选择手术麻醉的100例患者，按照随机原则平均分为右美托咪定组（包括A、B、C三组）、空白组及丙泊酚组，对比5组患者中麻醉前、后5分钟、30分钟、60分钟时HR（心率）、MAP（平均动脉压）及Ramsay评分。结果：右美托咪定组和丙泊酚组在麻醉后Ramsay评分高于麻醉前；在麻醉30分钟后B、C及丙泊酚组Ramsay评分结果优于空白组。在麻醉后30分钟，C组患者HR水平低于其他组。结论：对老年患者腰硬联合麻醉使用右美托咪定剂量控制在0．2～0．5ug／kg·h能有效保证患者的镇静效果，同时不会产生不良反应。
Objective： To discuss the calming effect of dexmedetomidine in CSEA of the elderly and provided a better calming method for clinical, anesthesia. Method： 100 patients received anesthesia were divided randomly and equally into dexmedetomidine group （including A, B, C group）, blank group and propofol group. I-IR, MAP and Ramsay grades before anesthesia, 5 min 30 min 60 min after anesthesia of all groups were compared. Result： Ramsay grades after anesthesia of dexmedetomidine group and propofol group were higher than before anesthesia. Ramsay grades of B, C and propofol group 30 min after anesthesia were higher than blank group. HR level of C group 30 min after anesthesia was lower than other groups. Conclusion ： Dose of Dexmedetomidine in application of CSEA of the elderly should be controlled at 0. 2 ~ 0. 5ug/kg h as to ensure the calming effect without adverse reactions.
出处
《中国民族民间医药》
2013年第16期33-34,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
