肝癌介入治疗患者应用右美托咪定与丙泊酚麻醉的效果对照分析  

Comparative analysis of the effect of dexmedetomidine and propofol anesthesia in patients undergoing interventional treatment of liver cancer

作　　者：周文[1] 余云明[1] 阳兴[1] 高德胜[1] Zhou Wen;Yu Yunming;Yang Xing;Gao Desheng(Chongqing Three Gorges Central Hospital,404100)

机构地区：[1]重庆三峡中心医院,404100

出　　处：《中国社区医师》2018年第21期71-72,共2页Chinese Community Doctors

摘　　要：目的:探讨肝癌介入治疗患者应用右美托咪定与丙泊酚麻醉的效果对照。方法:收治肝癌介入术患者90例,分两组。对照组用丙泊酚麻醉,观察组给予右美托咪定麻醉。比较两组肝癌介入术麻醉效果,干预前后患者平均动脉压、脉搏血氧饱和度、心率,以及瑞芬太尼用量。结果:观察组肝癌介入术麻醉效果高于对照组(P<0.05);观察组低血压等并发症发生率低于对照组(P<0.05);干预后观察组平均动脉压、脉搏血氧饱和度、心率优于对照组(P<0.05)。观察组瑞芬太尼用量少于对照组(P<0.05)。结论:肝癌介入治疗患者应用右美托咪定麻醉效果优于丙泊酚麻醉的效果,可稳定患者生命体征,减少药物用量。Objective:To investigate the effect of dexmedetomidine and propofol anesthesia in the interventional treatment of liver cancer patients.Methods:90 patients with interventional liver cancer were divided into the two groups.The control group was anesthetized with propofol,and the observation group was given dexmedetomidine anesthesia.The anesthetic effect of interventional liver cancer,mean arterial pressure,pulse oxygen saturation and heart rate,refentanil dosage before and after intervention was compared between groups.Results:The anesthetic effect of interventional liver cancer in the observation group was higher than that in the control group(P<0.05).The incidence of complications such as hypotension in the observation group was lower than that in the control group(P<0.05).The mean arterial pressure,pulse oxygen saturation and heart rate were significantly better in the observation group than in the control group after intervention(P<0.05).The amount of remifentanil in the observation group was less than that in the control group(P<0.05).Conclusion:The effect of dexmedetomidine on anesthesia patients with hepatocellular carcinoma is better than that of propofol anesthesia.It can stabilize the vital signs of patients and reduce the dosage of drugs.

关 键 词：肝癌介入治疗患者 右美托咪定 丙泊酚麻醉 

分 类 号：R614[医药卫生—麻醉学] R735.7[医药卫生—外科学]