右美托咪定对老年胸腔镜手术患者围手术期的影响

Effects of Dexmedetomidine on Elderly Thoracoscopic Surgery Perioperative Period

目的研究老年胸腔镜手术患者围手术期采取右美托咪定的效果。方法选取我院收治的行胸腔镜手术的老年患者60例,按照数字随机法随机分成观察组和对照组,观察组在麻醉诱导前给予右美托咪定,对照组则在麻醉诱导前给予生理盐水,比较两组围手术期的临床情况。结果观察组不良反应发生率3.33%,对照组不良反应发生率30.00%,观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论行胸腔镜手术的老年患者采用右美托咪定,血流动力学平稳,不会延长拔管的时间,而且不良反应较少。

Objective To study the effect of taking dexmedetomidine thoracoscopic operation in elderly patients during perioperative period. Methods 60 elderly patients with operation in our hospital were selected by thoracoscopy for example, according to figures were randomly divided into observation group and control group, compared two groups of perioperative clinical condition. Results The adverse reaction in observation group was 3.33%, in control group the adverse reaction rate was 30.00%, the adverse reaction in observation group was lower than that of the control group, the difference was statistically significant（P〈0.05）. Conclusion The elderly patients undergoing thoracoscopic operation with dexmedetomidine, stable hemodynamics, extubation time will not be extended, and less adverse reactions.