期刊文献+

右美托咪定对肺叶切除术患者术后谵妄的影响研究

Study On The Effect Of Dexmedetomidine For The Postoperative Delirium Patients After Lung Lobectomy
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摘要 目的探讨右美托咪定防治肺叶切除术后谵妄的价值。方法随机选取我院接受肺叶切除手术的110例患者为分析病例,随机分为研究组(应用右美托咪定)和对照组(应用安慰剂)各55例,对比分析两组谵妄发生情况。结果两组间手术时间、药物应用剂量等无明显差异,但是研究组苏醒期谵妄发生率(9.09%)和术后谵妄发生率(29.09%)均明显低于对照组,经统计学分析,P<0.05具有显著性差异。结论右美托咪定有利于降低肺叶切除术患者发生谵妄的危险性,值得推广。 Objective To discuss the treatment value of dexmedetomidine for the postoperative delirium patients after lung lobectomy .Methods 1 1 0 patients with lung lobectomy were randomly selected in our hospi -tal as the objects .They were randomly divided into study group (dexmedetomidine group ) and control group (placebo) ,there were 5 5 cases in each group .The incidence of delirium was compared between two groups .Re-sults In study group ,the waking period delirium rate and postoperative delirium incidence were significantly lower than that of the control group ,after statistical analysis ,P 〈 0 .0 5 ,there were significant differences .Con-clusions Dexmedetomidine can reduce the risk of delirium for the patients with lung lobectomy ,it is worth promoting .
出处 《内蒙古医学杂志》 2016年第6期677-678,共2页 Inner Mongolia Medical Journal
关键词 右美托咪定 肺叶切除术 谵妄 dexmedetomidine lung lobectomy postoperative delirium
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  • 1张培刚,宋继育,布建中.高龄患者外科手术后精神障碍的原因探讨[J].天津医药,2005,33(5):316-316. 被引量:15
  • 2董列军.老年人术后谵妄的原因分析和护理[J].浙江临床医学,2005,7(7):773-773. 被引量:14
  • 3徐建青.老年病人术后谵妄[J].国外医学(麻醉学与复苏分册),1996,17(2):109-111. 被引量:22
  • 4吴新民,许幸,王俊科,王鲲鹏,薛张纲,缪长虹,邓小明,艾登斌,于浩.静脉注射右美托咪啶辅助全身麻醉的有效性和安全性[J].中华麻醉学杂志,2007,27(9):773-776. 被引量:242
  • 5Cole MG. Delirium in elderly patients[J]. Am J Geriatr Psy chiatry,2004,12(1) : 7-21.
  • 6Shukry M, Clyde MC, Kalariekal PI, et al. Does dexmedeto- midine prevent emergence delirium in children after sevoflurane-based general anesthesia [Jl. Paediatr Anaesth, 2005,15(12): 1098-1104.
  • 7Maldonado JR, Wysong A, Van der Starre PJ, et al. Dexme detomidine and the reduction of postoperative delirium after cardiac surgery[J]. Psychosomaties, 2009, 50(3):206-217.
  • 8Ohtani N, Yasui Y, Watanabe D, et al. Perioperative infusion of dexmedetomidine at a high dose reduces postoperative anal gesic requirements= a randomized control trial[J]. J Anesth, 2011, 25(6) : 872-876.
  • 9Nelson LE, Lu J, Guo TZ, et al. The (x2 Adrenoceptor ago- nist dexm edetomidine converges on an endogenous sleep pro moting pathway to exertits sedative ef[ects[J]. Anesthesiolo gy, 2003, 98(2): 428-436.
  • 10Vaurio LE,Sands LP, Wang Y, et al.Postoperative delirium:the imp- ortance of pain management[J].Anesth Analg,2006,102(4): 1267- 1273.

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