本文關(guān)鍵詞：雷米芬太尼聯(lián)合右美托咪定對頭頸部及甲狀腺手術(shù)患者麻醉效果的影響　出處：《中國老年學雜志》2015年06期 　論文類型：期刊論文

  更多相關(guān)文章： 頭頸部及甲狀腺手術(shù) 麻醉 雷米芬太尼 右美托咪定

【摘要】：目的探討雷米芬太尼與右美托咪定在頭頸部及甲狀腺手術(shù)患者麻醉中的聯(lián)合應用意義。方法選取2011年6月至2013年6月在該院行頭頸部及甲狀腺手術(shù)患者135例,將入選患者隨機分成A組(單純芬太尼麻醉組)、B組(雷米芬太尼麻醉組)、C組(雷米芬太尼與右美托咪定聯(lián)合麻醉組),每組45例。分別對三組頭頸部及甲狀腺手術(shù)患者不同時間心率、收縮壓、舒張壓變化情況,Ramsay鎮(zhèn)靜分級改善情況,內(nèi)臟牽拉反應改善情況療效改善情況和臨床好轉(zhuǎn)情況比較和分析。結(jié)果與A組和B組相比,C組頭頸部及甲狀腺手術(shù)患者在T1、T2、T3、T4時心率(HR)、收縮壓(SBP)和舒張壓(DBP)均明顯降低,Ramsay鎮(zhèn)靜分級為Ⅰ級和Ⅱ級的比率均明顯提高,而為Ⅲ級和Ⅳ級的比率則明顯降低,內(nèi)臟牽拉反應為0級的比率顯著增加,而為Ⅰ級和Ⅱ級的比率則顯著減少,并且差別均呈現(xiàn)出統(tǒng)計學意義(P0.05)。結(jié)論雷米芬太尼聯(lián)合右美托咪定能夠全面改善頭頸部及甲狀腺手術(shù)患者的麻醉效果,對于保障手術(shù)的順利進行具有積極的促進作用。
[Abstract]:Objective to explore the combined application of remifentanil and dexmetomidine in head and neck and thyroid surgery patients. Methods from June 2011 to June 2013, we performed head, neck and thyroid surgery in our hospital. 135 patients. The patients were randomly divided into two groups: group A (fentanyl anesthesia group), group B (remifentanil anesthesia group), group C (remifentanil combined with dexmemetomidine anesthesia group). The changes of heart rate, systolic blood pressure and diastolic blood pressure in three groups of patients undergoing head and neck surgery and thyroid surgery were compared with the improvement of Ramsay's sedation grade in each group (45 cases). The improvement of visceral traction reaction and the clinical improvement were compared and analyzed. Results compared with group A and B, the patients with head and neck and thyroid surgery in group C were treated with T1T2T3. HRP, SBP (SBP) and DBP (DBP) decreased significantly at T4, and the ratio of Ramsay sedation grade 鈪，

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