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右美托咪定与纳布啡在老年患者内镜下逆行胰胆管造影术中的麻醉效果 被引量:1

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摘要 目的探讨右美托咪定与纳布啡在老年患者内镜下逆行胰胆管造影术(ERCP)中的麻醉效果。方法选取湘潭县人民医院2017年行ERCP的老年患者98例,采用随机数字表法分为对照组48例与观察组50例。对照组患者采用利多卡因麻醉,观察组患者采用右美托咪定与纳布啡的联合麻醉。比较两组患者治疗前后镇静评分标准量表(Ramsay)评分与视觉模拟评分法(VAS)评分,手术时间、苏醒时间及离开手术室时间,并观察两组患者不良反应发生情况。结果治疗前两组患者Ramsay评分与VAS评分比较,差异无统计学意义(P>0.05);治疗后观察组患者Ramsay评分高于对照组,VAS评分低于对照组(P<0.05)。观察组患者手术、苏醒、离开手术室时间短于对照组(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论右美托咪定与纳布啡在老年患者ERCP中的麻醉效果良好,可有效发挥镇静镇痛效果,缩短手术相关时间,且安全性较高。
作者 黄季芳
出处 《临床合理用药杂志》 2019年第24期51-52,共2页 Chinese Journal of Clinical Rational Drug Use
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