右美托咪定联合舒芬太尼在腹腔镜下经腹阴道联合子宫切除术中的应用效果  

The effect of Dexmedetomidine combined with Sufentanil in laparoscopic combined abdominal and vaginal hysterectomy

作　　者：谢国强[1] 陈秀瑜[1] 何永消 伍彩源 XIE Guo-qiang;CHEN Xiu-yu;HE Yong-xiao;WU Cai-yuan(Department of Anesthesiology,People＇s Hospital of Sihui City,Guangdong Province,Sihui 526200,China)

机构地区：[1]广东省四会市人民医院麻醉科,广东四会526200

出　　处：《中国当代医药》2018年第15期71-73,共3页China Modern Medicine

摘　　要：目的探讨右美托咪定联合舒芬太尼在腹腔镜下经腹阴道联合子宫切除术中的应用效果。方法选择我院2015年6月~2017年6月收治的120例妇科腹腔镜下经腹阴道联合子宫切除术患者作为研究对象,采用数字奇偶法分为对照组(60例)和观察组(60例)。对照组采用舒芬太尼行术后镇痛,观察组在对照组基础上联合右美托咪定术后镇痛,比较两组术后镇痛效果。结果术后2、4、6 h,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);术后2 h,观察组RASS评分明显高于对照组,差异有统计学意义(P<0.05);术后观察组不良反应发生率为5.00%,低于对照组(26.67%),差异有统计学意义(P<0.05)。结论对妇科腹腔镜下经腹阴道联合子宫切除术患者,临床选择右美托咪定复合镇痛,获得镇痛效果满意,明显减少、减轻术后6 h内(麻醉药物消退期间)的心血管反应。Objective To explore the effect of Dexmedetomidine combined with Sufentanil in laparoscopic combined hysterectomy.Methods A total of 120 patients with gynecological laparoscopic combined hysterectomy were selected as subjects in our hospital from June 2015 to June 2017.They were divided into control group（60 cases） and observation group（60 cases） according to the digital parity method.The control group was used Sufentanil drug for postoperative analgesia,and the observation group was combined with Dexmedetomidine for postoperative analgesia on the basis of the control group.Postoperative analgesia was compared between the two groups.Results At 2,4 and 6 hours after surgery,the VAS score of the observation group was lower than the control group,and the difference was statistically significant（P〈0.05）.At 2 hours after surgery,the RASS score of the observation group was significantly higher than that of the control group,and the difference was statistically significant（P〈0.05）.The incidence of adverse reactions（5.00%） in postoperative observation group was lower than that in the control group（26.67%）,and the difference was statistically significant（P〈0.05）.Conclusion For gynecological laparoscopic abdominal joint vaginal hysterectomy patients,clinical choice right beautifulmi on composite analgesia,the analgesic effect of satisfaction,significantly reduce postoperative 6 hours（faded） during the drugs of cardiovascular response.

关 键 词：右美托咪定 舒芬太尼 妇科 经腹阴道联合子宫切除术 镇痛效果 

分 类 号：R713.42[医药卫生—妇产科学]