老年腹部手术患者采用右美托咪定联合舒芬太尼超前镇痛的效果观察

Effect of advanced analgesia with dexmedetomidine and sufentanil in elderly patients undergoing abdominal surgery

目的 观察老年腹部手术患者采用右美托咪定联合舒芬太尼超前镇痛的效果。方法 以计算机分组法将2021年12月至2022年9月抚州市临川区人民医院66例拟行腹部手术的老年患者分为两组,每组各33例,对照组予以舒芬太尼超前镇痛,观察组在对照组基础上加以右美托咪定超前镇痛,观察两组疼痛情况、血流动力学变化以及不良反应发生率。结果 术后2h、6h、12h,观察组疼痛评分均低于对照组(P<0.05);术后2h、6h,两组DBP、SBP、MAP、HR均降低,但观察组高于对照组(P<0.05);术后12h,两组DBP、SBP、MAP、HR均降低,且观察组低于对照组(P<0.05);两组不良反应对比无差异(P>0.05)。结论 右美托咪定联合舒芬太尼超前镇痛可显著缓解老年腹部手术患者术后疼痛,维持血流动力学稳定,且不增加不良反应,用药安全性较高。

Objective To observe the advanced analgesic effect of dexmedetomidine and sufentanil in elderly patients undergoing abdominal surgery.Methods By computer grouping method from December 2021 to September 2022 Fuzhou city district people's hospital 66 cases of elderly patients with abdominal surgery is divided into two groups,33 cases,each group to sufentanyl advance analgesia,observation group on the basis of control group to dexmedetomidine advance analgesi-a,observe the two groups of pain,hemodynamic changes and the incidence of adverse reactions.Results The pain scores were lower than the control group 2h,6h and 12h(P<0.05),DBP,SBP,MAP,and HR increased 2h and 6h(P<0.05);DBP,SBP,MAP,and HR decreased 12h(P<0.05)(P>0.05).Conclusion Dexmedetomidine and sufentanil can signifi-cantly relieve postoperative pain in elderly patients,maintain hemodynamic stability,with high safety.