右美托咪定持续静脉注射对甲状腺手术患者全麻恢复期的影响

Effect of continuous intravenous injection of dexmedetomidine on general anesthesia recovery in patients undergoing thyroidectomy

目的:探讨在甲状腺手术中采用右美托咪定进行持续静脉注射对患者全麻恢复期的影响。方法:选取2016年3月至2018年3月在新疆医科大学第一附属医院(昌吉分院)接受甲状腺手术的患者85例,随机将其分为对照组(n=42)和实验组(n=43)。对照组:给予患者舒芬太尼、丙泊酚、顺阿曲库、生理盐水。实验组:给予患者舒芬太尼、丙泊酚、顺阿曲库、右美托咪定。比较两组患者镇静、镇痛、呛咳以及躁动评分。结果:实验组患者的镇静、镇痛、呛咳以及躁动评分明显优于对照组,差异有统计学意义(P<0.05)。结论:在甲状腺手术中采用右美托咪定进行持续静脉注射,对患者全麻恢复期的影响较小,值得在临床上大力的推广实行。

Objective: To study the effect of continuous intravenous injection of dexmedetomidine on the recovery period of general anes-thesia in thyroid surgery. Methods: 85 patients who underwent thyroid surgery in our hospital from March 2016 to March 2018 were randomly divided into two groups. Experimental group was given sufentanil, propofol, cisatracurium and dexmedetomidine(n=43). Control group was given sufentanil, propofol, cisatracurium(n=42). The sedation, analgesia, cough and restlessness scores were compared between the two groups. Results: The scores of sedation, analgesia, cough and restlessness in the experimental group were significantly better than those in the control group (P<0.05). Conclusion: Continuous intravenous injection of dexmedetomidine during thyroidectomy has little effect on the recovery period of general anesthesia. It is worth popularizing in clinic.