右美托咪定联合静吸复合全身麻醉用于腹腔镜子宫肌瘤剜除术中对患者血压及麻醉效果的影响  

Effect of Dexmedetomidine Combined with Intravenous Aspiration Com⁃bined with General Anesthesia on Blood Pressure and Anesthetic Effect of Patients Undergoing Laparoscopic Myomectomy

作　　者：金波 曹婷婷 马晓冬 JIN Bo;CAO Tingting;MA Xiaodong(Department of Anesthesiology,Zhenjiang Maternal and Child Health Hospital,Zhenjiang,Jiangsu Province,212001 China;Department of Gynecology and Obstetrics,Zhenjiang Ruikang Hospital,Zhenjiang,Jiangsu Province,212000 China;Department of Anesthesiology,Zhenjiang First People's Hospital,Zhenjiang,Jiangsu Province,212002 China)

机构地区：[1]镇江市妇幼保健院麻醉科,江苏镇江212001 [2]镇江瑞康医院妇产科,江苏镇江212000 [3]镇江市第一人民医院麻醉科,江苏镇江212002

出　　处：《中外医疗》2024年第6期20-24,共5页China & Foreign Medical Treatment

摘　　要：目的探索腹腔镜子宫肌瘤剜除术中右美托咪定联合静吸复合全身麻醉应用价值以及麻醉效果。方法方便选取2021年1月—2023年9月镇江市妇幼保健院收治的93例腹腔镜子宫肌瘤患者为研究对象,以随机抽签法分为对照组(47例)和观察组(46例),对照组开展静吸复合全身麻醉,观察组开展右美托咪定联合静吸复合全身麻醉。对比两组患者恢复时间、应激指标、血流动力学指标、血压指标、不良反应发生率。结果术前,两组患者应激指标比较,差异无统计学意义(P>0.05)。术后,观察组恢复时间少于对照组,应激指标低于对照组,差异有统计学意义(P均<0.05)。T_(0)时间节点,两组患者舒张压、收缩压、平均动脉压与心率比较,差异无统计学意义(P均>0.05);T_(1)、T_(2)、T_(3)时间节点,观察组舒张压、收缩压、平均动脉压、心率低于对照组,差异有统计学意义(P均<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜子宫肌瘤剜除术中右美托咪定联合静吸复合全身麻醉应用具有较强的优势,麻醉效果更优,可以有效降低患者术后不良反应,安全性较高。Objective To explore the application value and anesthetic effect of dexmedetomidine combined with intra-venous aspiration combined with general anesthesia in laparoscopic myomectomy.Methods A total of 93 patients with laparoscopic uterine fibroids admitted to Zhenjiang Maternal and Child Health Hospital from January 2021 to Septem-ber 2023 were conveniently selected as the study objects,and were divided into control group(47 cases)and observa-tion group(46 cases)by random drawing method.The control group received general anesthesia combined with intra-venous aspiration,and the observation group received dexmedetomidine combined with intravenous aspiration com-bined with general anesthesia.The recovery time,stress index,hemodynamic index,blood pressure index and inci-dence of adverse reactions were compared between the two groups of patients.Results Before surgery,there was no sta-tistically significant difference in stress indexes between the two groups(P>0.05).After operation,the recovery time and stress index of the observation group were lower than those of the control group,and the differences were statisti-cally significant(both P<0.05).At T_(0) time node,there were no statistically significant differences in diastolic blood pressure,systolic blood pressure,mean arterial pressure and heart rate between the two groups of patients(all P<0.05).At T_(1),T_(2) and T_(3) time nodes,diastolic blood pressure,systolic blood pressure,mean arterial pressure and heart rate in the observation group were lower than those in the control group,and the differences were statistically signifi-cant(all P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of dexmedetomidine com-bined with intravenous aspiration combined with general anesthesia in laparoscopic myomectomy has strong advan-tages and better anesthetic effect,which can effectively reduce postoperative adverse reactions in p

关 键 词：腹腔镜子宫肌瘤剜除术 右美托咪定 静吸复合全身麻醉 血压 

分 类 号：R4[医药卫生—临床医学]