右美托咪定在宫腔镜手术静脉麻醉中的效果分析

Effect Analysis of Dexmedetomidine in Intravenous Anesthesia for Hysteroscopic Surgery

目的:探讨在宫腔镜手术静脉麻醉中采用右美托咪定的临床价值。方法:选取2018年6月-2020年6月就诊于天长天康医院行宫腔镜手术治疗的患者30例,采用随机表法分成两组,对照组(n=14)采用瑞芬太尼+依托咪酯麻醉,研究组(n=16)实施右美托咪定+依托咪酯麻醉,对比两组患者的麻醉效果。结果:研究组患者麻醉起效时间、苏醒时间及拔管时间显著短于对照组,差异均有统计学意义(P<0.05);研究组在T_(1)、T_(2)、T_(3)、T_(4)时间点时心率、呼吸频率及平均动脉压均高于对照组,差异均有统计学意义(P<0.05);研究组不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:对进行宫腔镜手术患者静脉麻醉时采用右美托咪定麻醉,具有较强的镇静作用,对患者呼吸以及循环系统影响较小,患者术后苏醒时间较快,可尽早拔管,具有较高的安全性。

Objective:To investigate the clinical value of dexmedetomidine in intravenous anesthesia for hysteroscopic surgery.Methods:From June 2018 to June 2020,30 patients undergoing hysteroscopic surgery in Tianchang Tiankang Hospital were selected and randomly divided into two groups.The control group(n=14)was anesthetized with remifentanil and etomidate,the study group(n=16)was anesthetized with dexmedetomidine and etomidate.The anesthetic effect was compared between the two groups.Results:The anesthesia onset time,recovery time and extubation time of the patients in the study group were significantly shorter than those in the control group,the differences were statistically significant(P<0.05);the heart rate,respiratory frequency and mean arterial pressure in the study group were higher than those in the control group at the time points of T_(1),T_(2),T_(3) and T_(4),the differences were statistically significant(P<0.05);the incidence of adverse reactions in the study group was significantly lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:In intravenous anesthesia for patients undergoing hysteroscopic surgery,dexmedetomidine has a stronger sedative effect,less impact on the respiration and circulation system of patients,and a faster recovery time after surgery,and it can be extubated early,with high safety.