摘要
目的分析与比较右美托咪定和丙泊酚用于硬膜外麻醉下妇科手术患者的镇静效果。方法回顾性分析我院2015年6月至2016年6月收治的100例硬膜外麻醉下妇科手术患者的临床资料,根据不同镇静药物的使用将患者分为研究组(50例)与对照组(50例)。研究组患者给予右美托咪定麻醉,对照组给予丙泊酚麻醉。对比两组患者的镇静效果。结果研究组患者T_1、T_2、T_3时间段的镇静评分明显高于对照组(P<0.05);研究组患者T_1、T_2时间段的HR与T_1、T_2、T_3时间段的SpO_2、MAP明显优于对照组(P<0.05);研究组患者的不良反应总发生率低于对照组(P<0.05)。结论妇科手术患者使用右美托咪定硬膜外麻醉的镇静效果明显优于丙泊酚。
Objective To analyze and compare the effects of dexmedetomidine and propofol on sedation in patients undergoing gynecological surgery with epidural anesthesia. Methods The clinical data of 100 patients who underwent gynecological surgery with epidural anesthesia from June 2015 to June 2016 were retrospectively analyzed. All the patients were divided into study group(50 cases) and control group(50 cases) according to different sedative medicines. Patients in the study group were given dexmedetomidine anesthesia, and the control group received propofol anesthesia. The sedative effects of the two groups were compared. Results The sedation scores of T_1, T_2 and T_3 in the study group were significantly higher than those in the control group(P<0.05); the HR in the T_1 and T_2, SpO_2 and MAP in the T_1, T_2 and T_3 in the study group were significantly better than those in the control group(P<0.05). The total incidence of adverse reactions of patients in the study group was lower than that in the control group(P<0.05). Conclusion The effect of epidural anesthesia in patients underwent gynecological surgery with epidural anesthesia was better than the propofol.
出处
《临床医学研究与实践》
2017年第29期61-62,共2页
Clinical Research and Practice
关键词
硬膜外麻醉
妇科手术
镇静
右美托咪定
丙泊酚
epidural anesthesia
gynecological surgery
sedation
dexmedetomidine
propofol
