七氟烷麻醉骨折老年患者苏醒期躁动应用右美托咪定的临床效果  

The clinical Effect of Dexamethasone in the Recovery of Restlessness in Elderly Patients with Sevoflurane Anesthesia

作　　者：陈洪涛[1] 徐莉[1] 况时龙[1] 于志英[1] 朱仕佳 CHEN Hong-tao;XU Li;KUANG Shi-long;YU Zhi-ying;ZHU Shi-jia(Department of Anesthesiology, Guangzhou Eighth People's Hospital, Guangzhou 510060, China)

机构地区：[1]广州市第八人民医院麻醉科,广东广州510060

出　　处：《中国医药指南》2017年第24期15-15,17,共2页Guide of China Medicine

摘　　要：目的分析右美托咪定对骨折老年患者以七氟烷麻醉时出现的苏醒期躁动造成的影响。方法研究对象取本科室2016年1月至2016年12月间接收的行七氟烷麻醉时出现苏醒期躁动的80例老年骨折患者,随机分成2组:参考组共40例,给予常规护理处理;研究组共40例,给予右美托咪定用药。观察及比较两组的疼痛与躁动情况变化。结果研究组治疗后的疼痛评分、躁动评分与治疗前、参考组相比均显著更低(P<0.05);研究组治疗后的躁动率、导管脱出率与参考组相比均显著更低(P<0.05)。结论右美托咪定能够有效降低七氟烷麻醉骨折老年患者的疼痛及躁动评分,减少躁动与导管脱出,值得借鉴。Objective To analyze the effect of the reawakening period of the period of wake-induced agitation of the elderly patient with the fracture of the fracture.Methods The object of study for undergraduate course room from January2016to December2016received line sevoflurane anesthesia when waking period80patients with fracture of elderly restlessly,randomly divided into2groups:the reference group of40cases,given routine nursing care;The team had40cases,and the right metamidine was given.Observe and compare the pain and agitation of the two groups.Results The results were significantly lower(P<0.05)than the post-treatment pain score,the agitation score,and the reference group.The reactivity rate of the group was significantly lower than that of the reference group(P<0.05).Conclusion It is worth learning that dextrorotosis can effectively reduce the pain and reactivity score of the elderly patients with dafluoroanaesthetic fracture,and reduce the reactivity and catheter.

关 键 词：骨折 老年 七氟烷 苏醒期躁动 右美托咪定 

分 类 号：R614[医药卫生—麻醉学] R683[医药卫生—外科学]