右美托咪定对老年骨折患者七氟烷麻醉苏醒期躁动的影响  

作　　者：郑春晖[1] 

机构地区：[1]福州市第二医院麻醉科,福建350007

出　　处：《当代医学》2016年第7期75-76,共2页Contemporary Medicine

摘　　要：目的探讨右美托咪定对老年骨折患者七氟烷麻醉苏醒期躁动的影响。方法将60例老年骨折患者按照数字表法随机分为研究组和对照组,各30例。其中研究组给予右美托咪定,而对照组则给予同等容量的生理盐水,比较2组患者疼痛、躁动及血流动力学变化情况。结果研究组患者的疼痛评分、躁动评分及躁动发生率较对照组明显下降(P<0.05)。研究组HR、RR、MAP、SpO_2等血流动力学指标均较对照组明显改善(P<0.05)。结论右美托咪定可以有效降低老年骨折患者七氟烷麻醉苏醒期躁动发生率,并能有效地改善血流动力学情况,安全性更高。Objective To investigate the effect of dexmedetomidine on emergence agitation in elderly fracture patients undergoing sevoflurane anesthesia. Mothods Elderly fracture patients were randomty divided into study group and control group according to the digital table method. Patients of study group were given dexmedetomidine, while patients of control group were given an equal volume of saline. Pain, restlessness and hemodynamic changes were compared between the two groups. Results Patients in the study group, pain score, restlessness score and the incidence of agitation rate decreased significantly by comparing with the control group （P〈0.05）. RR, MAP, SpO2 and HR in the study group were significantly improved by comparing with the control group （P〈0.05）. Conclusion Dexmedetomidine can effectively reduce emergence agitation in elderly fracture patients undergoing sevoflurane anesthesia, and can effectively improve the hemodynamics and safety.

关 键 词：右美托咪定 老年 骨折 七氟烷 麻醉 躁动 

分 类 号：R614[医药卫生—麻醉学]