右美托咪啶联合七氟烷在腹腔镜手术麻醉中的应用效果研究

Research of the Application Effect of Dexmedetomidine Combined with Sevoflurane in Anesthesia of Laparoscopic Surgery

探讨右美托咪啶联合七氟烷在腹腔镜手术麻醉中的应用效果。选择114例需做腹腔镜手术的患者为研究对象,随机分为对照组和观察组。对照组使用七氟烷麻醉,观察组在对照组的基础上加用右美托咪啶麻醉,比较两组的血流动力学指标及Ramsay镇静评分和术后相关指标。观察组术中的收缩压、舒张压及心率显著低于对照组(P<0.05),Ramsay镇静评分显著高于对照组(P<0.05),首次呼吸时间以及首次产气时间显著早于对照组(P<0.05),拔管时间显著短于对照组(P<0.05),术后清醒时间和术后定向力恢复时间显著晚于对照组(P<0.05)。右美托咪啶联合七氟烷应用于腹腔镜手术麻醉中的镇静效果好,可以加快患者的呼吸和产气,稳定血流动力学。

The research explores the application effect of dexmedetomidine combined with sevoflurane in anesthesia of laparoscopic surgery.114 patients who are under the requirement of laparoscopic surgery are selected as the research objects,and they are randomly divided into control group and observation group.Sevoflurance is used in the control group for anesthesia,and based on this,dexmedetomidine is used in observation group.Haemodynamics indexes,Ramsay sedition score and postoperative related indexes are compared.Systolic pressure,diastolic blood pressure and heart rate during operation in the observation group are significantly lower than control group(P<0.05).Ramsay sedation score of observation group is significantly higher than control group(P<0.05).First breath time and first gas production time are significantly earlier than control group(P<0.05).Tube drawing time is significantly shorter than control group(P<0.05).Awake time and directional force recovery time after operation are significantly later than control group(P<0.05).Application of dexmedetomidine combined with sevoflurane in anesthesia of laparoscopic surgery has good sedition effect.It can accelerate patient’s breathe and gas production,and stabilize haemodynamics.