曲马多与右美托咪定预防全身麻醉术后寒战的效果对比评价

Comparison of effects of tramadol and dexmedetomidine on prevention of shivering after general anesthesia

目的观察曲马多与右美托咪定预防全身麻醉术后寒战的临床效果。方法选择2018年1月至2019年1月本院收治的80例全身麻醉手术患者为研究对象,根据入院时间分为观察组和对照组,每组40例。观察组使用右美托咪定治疗,对照组使用曲马多治疗,比较两组患者临床效果。结果观察组不良反应发生率为5.00%,对照组为25.00%(P<0.05);观察组寒战发生率为7.50%,明显低于对照组的25.00%(P<0.05);观察组总有效率为95.00%,明显高于对照组的80.00%(P<0.05)。结论应用右美托咪定治疗全身麻醉手术患者,可降低术后寒战发生率,提升治疗效果,降低不良反应发生率,值得临床推广及应用。

Objective To observe the clinical effect of tramadol and dexmedetomidine in preventing chills after general anesthesia.Methods 80 patients underwent general anesthesia in our hospital.The study was conducted from January 2018 to January 2019.According to the admission time,the patients were divided into observation group and control group,with 40 cases in each group.The observation group was treated with dexmedetomidine and the control group was treated with tramadol.The clinical effects of the two groups were compared.Results The incidence of adverse reactions was 5.00%in the observation group and 25.00%in the control group(P<0.05).The incidence of shivering in the observation group was 7.50%,which was significantly lower than that of the control group(25.00%)(P<0.05).The total effective rate of the observation group was 95.00%,which was significantly higher than that of the control group(80.00%)(P<0.05).Conclusion The use of dexmedetomidine in patients undergoing general anesthesia can reduce the incidence of postoperative shiver,improve the treatment effect,reduce the incidence of adverse reactions,and have high clinical promotion value and application.