本文關(guān)鍵詞：右美托咪定復(fù)合芬太尼用于老年人ERCP的麻醉效果觀察　出處：《暨南大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 右美托咪定 經(jīng)內(nèi)鏡逆行胰膽管造影術(shù) 麻醉 應(yīng)激反應(yīng)

【摘要】：目的:通過比較三種不同的麻醉方法用于老年人ERCP時(shí)的多項(xiàng)觀察指標(biāo),以期為老年人行ERCP尋求一種較為理想的麻醉方法,使老年人在行ERCP時(shí)更為安全和舒適。方法:選擇60例擇期行ERCP的患者,ASAⅠ~Ⅱ級(jí),隨機(jī)分為三組:右美托咪定組(D組),丙泊酚組(P組),咪達(dá)唑侖組(M組),每組20例。三組患者入室后按組別分別給予不同的麻醉藥物。監(jiān)測(cè)并記錄三組患者不同時(shí)間點(diǎn)的HR、MAP、SpO2以及血漿腎上腺素和去甲腎上腺素水平;觀察并記錄整個(gè)手術(shù)過程中不良反應(yīng)的發(fā)生情況。結(jié)果:D組患者的血流動(dòng)力學(xué)較P組和M組平穩(wěn);D組患者的血漿腎上腺素和去甲腎上腺素水平低于P組和M組;D組患者術(shù)中不良反應(yīng)的發(fā)生率低于P組和M組。結(jié)論:右美托咪定復(fù)合芬太尼用于老年人ERCP的麻醉時(shí),能有效地調(diào)控圍術(shù)期的應(yīng)激反應(yīng),使患者圍術(shù)期的血流動(dòng)力學(xué)更加穩(wěn)定,從而降低了患者術(shù)中不良反應(yīng)的發(fā)生率,是老年人行ERCP時(shí)的一種較為理想的麻醉方法。
[Abstract]:Objective: to compare three different anesthetic methods for ERCP in the elderly, in order to find an ideal anaesthesia method for the elderly with ERCP. Methods: 60 patients with ERCP were randomly divided into three groups: right metomidine group (group D). Propofol group (P group) and midazolam group (group M) were treated with different anesthetic drugs. HRMAP at different time points were monitored and recorded. SpO2 and plasma epinephrine and norepinephrine levels; Results the hemodynamics of group D was more stable than that of group P and M; The plasma levels of epinephrine and norepinephrine in group D were lower than those in group P and M; The incidence of adverse reactions in group D was lower than that in group P and group M. conclusion: dexmetomidine combined with fentanyl can effectively regulate perioperative stress reaction in elderly patients with ERCP anesthesia. The hemodynamics of patients during perioperative period is more stable and the incidence of adverse reactions during operation is reduced. It is an ideal anaesthesia method for elderly patients with ERCP.
【學(xué)位授予單位】：暨南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R614

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