组织工程与重建外科杂志 ›› 2018, Vol. 14 ›› Issue (6): 344-346.doi: 10.3969/j.issn.1673-0364.2018.06.012

• 论著 • 上一篇    下一篇

右美托咪定复合地佐辛用于抽脂静脉麻醉的临床观察

蒋超,余桂芳   

  1. 上海交通大学医学院附属第九人民医院麻醉科
  • 收稿日期:2018-08-26 修回日期:2018-10-19 发布日期:2020-07-23

Effectiveness of Dexmedetomidine Combined with Dizosin in the Anesthesia for Liposuction

JIANG Chao,YU Guifang   

  • Received:2018-08-26 Revised:2018-10-19 Published:2020-07-23

摘要: 目的 探讨右美托咪定复合地佐辛用于抽脂术静脉麻醉的有效性。方法 将择期抽脂患者60例随机分为观察组和对照组,每组各30例。观察组使用右美托咪定复合地佐辛行静脉麻醉,对照组使用咪达唑仑复合瑞芬太尼。评估指标包括Ramsay镇静评分和VAS疼痛评分,记录各时间点呼吸频率(RR)、平均动脉压(MAP)、心率(HR)和脉搏血氧饱和度(SpO2),记录两组患者的苏醒时间以及清醒时间,观察两组患者不良反应发生情况。结果 观察组T1、T2、T3、T4的RR和SpO2均高于对照组(P<0.05),T3、T4的MAP、HR低于对照组(P<0.05)。观察组患者苏醒时间和清醒时间均短于对照组(P<0.05)。观察组的术后躁动、SpO2<92%发生率低于对照组(P<0.05)。结论 右美托咪定复合地佐辛用于抽脂术静脉麻醉效果良好,可缩短苏醒时间以及清醒时间,不良反应发生率低,安全性较高。

关键词: 右美托咪定, 地佐辛, 抽脂术

Abstract: Objective To investigate the effectiveness of dexmedetomidine combined with dizosin in anesthesia for liposuction.Methods Sixty patients undergoing liposuction were reviewed and randomly divided into 2 groups:observation group(n=30)and control group(n=30).In observation group,dexmedetomidine combined with dizosin were taken for intravenous anesthesia,while midazolam combined with remifentanil were taken for intravenous anesthesia in control group.Scoring criteria included Ramsay sedation score,VAS pain score and HR,MAP,SpO2 at different time points were all observed.Recovery time and awake time of the two groups were recorded.The adverse reactions were observed.Results The respiratory rate and oxygen saturation at T1,T2,T3 and T4 in the observation group were higher than those in the control group and the heart rate and mean arterial pressure at T3,T4 were lower than those in the control group(P<0.05).The recovery time and awake time in observation group were shorter than those in control group(P<0.05).The incidence rate of postoperative restlessness and oxygen saturation<92%were both lower in the observation group than in the control group(P<0.05).Conclusion For the patients undergoing liposuction,dexmedetomidine combined with dizosin as intravenous anesthesia has good effect,it has advantages of shorter recovery and awake time,lower incidence of adverse reactions,and higher safety.

Key words: Dexmedetomidine, Dizosin, Liposuction

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