右美托咪定对腹腔镜胆囊切除术患者七氟烷麻醉苏醒期躁动的影响

Effect of Dexmedetomidine on Agitation during Awakening Period of Sevoflurane Anesthesia in Patients UndergoingLaparoscopic Cholecystectomy

目的:探讨右美托咪定在腹腔镜胆囊切除术患者接受七氟烷麻醉苏醒期躁动中的应用效果。方法:选取2022年6月—2023年4月连云港市灌云县中医院收治的腹腔镜胆囊切除术患者60例作为研究对象,采用随机数字表法分为对照组和试验组,各30例。对照组给予常规七氟烷麻醉,试验组在对照组基础上应用右美托咪定。观察两组患者麻醉苏醒期躁动情况以及麻醉后疼痛分级。结果:试验组患者麻醉苏醒期躁动发生率低于对照组,差异有统计学意义(P=0.037);试验组患者躁动持续时间短于对照组,躁动评分低于对照组,差异有统计学意义(P<0.05);试验组无疼痛患者多于对照组,轻度疼痛患者少于对照组,差异有统计学意义(P<0.05)。结论:右美托咪定在接受七氟烷麻醉的腹腔镜胆囊切除术患者麻醉苏醒后躁动中效果显著,可降低患者苏醒后躁动情况,缓解患者疼痛感,值得应用并予以推广。

Objective:To explore the application effect of dexmedetomidine on agitation during the awakening period of sevo⁃flurane anesthesia in patients undergoing laparoscopic cholecystectomy.Methods:Sixty cases of laparoscopic cholecystectomy patients admitted to Lianyungang Guanyun County Hospital of Traditional Chinese Medicine from June 2022 to April 2023 were selected as the study subjects,and were divided into the control group and the experimental group,each with thirty cas⁃es,by using the method of randomized numerical table.The control group was given conventional sevoflurane anesthesia,and the experimental group was applied dexmedetomidine on the basis of the control group.Observe the agitation during the awak⁃ening period of anesthesia as well as the pain grading after anesthesia in the two groups.Results:The incidence of agitation during the awakening period of anesthesia in the experimental group was lower than that in the control group,and the differ⁃ence was statistically significant(P=0.037);The duration of agitation of patients in the experimental group was shorter than that of the control group,and the agitation score was lower than that of the control group,and the difference was statistically significant(P<0.05);There were more pain-free patients in the experimental group than in the control group,and fewer pa⁃tients with mild pain than in the control group,with statistically significant differences(P<0.05).Conclusion:Dexmedetomi⁃dine on agitation after awakening from anesthesia in laparoscopic cholecystectomy patients who received sevoflurane anesthe⁃sia is effective,can reduce the patient's agitation after awakening,alleviate the patient's pain feeling,it is worth to be applied and be promoted.