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《右美托嘧啶用于喉癌患者局麻下气管切开的临床效果分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、现代生物医学进展www~shengwuyixue.cornProgressinModernBiomedicineVoL14NO.1JAN~2014·143·DOI:10.13241/j.cnki.pmb.2014.01.035右美托嘧啶用于喉癌患者局麻下气管切开的临床效果分析杜静徐德生鲁金乐胡美玲王国年△(哈尔滨医科大学附属第三医院黑龙江哈尔滨150086)摘要目的:探讨预注右关托嘧啶(dexmedetomindine,Dex)对喉癌患者局麻下行气管切开时的影响。方法:选择择期喉癌手术拟行气管切开的患者40例,随机分为Dex组(D组
2、)和生理盐水组(c组),D组在局麻前静脉注射DexO.5~g/kg(10min泵注完毕),c组以相同方式泵注等量生理盐水,观察5min后开始行局麻下气管切开。分别记录两组患者给药前(TO)、局麻开始时(T1)、切皮时(T2)、气管内麻醉时(T3)、气管切开造口时(T4)的平均动脉压(MAP)、心率(HR)、脉搏血氧饱和度(SpO:)和呼吸次数(RR);观察并记录患者T1~T4各时间点的VAS评分、Ramsay镇静评分和手术耐受程度评分。结果:与T0相比,C组T1~T4各时点MAP和HR均升高,尤以T3~T4时明显(P<0.05),D
3、组T1—4时MAP下降、HR明显减慢(P<0.05);与C组相比,D组T1~T4各时间点MAP均显著下降(P<0.05),HR均明显减慢(P<0.01),VAS评分显著降低(P<0.05),手术耐受程度评分和Ramsay镇静评分均显著升高(P<0.05)。结论:喉癌患者行局麻气管切开前预先静注右关托嘧啶0.5Ixg/kg(10rain泵注完毕),可有效维持血液动力学稳定,并产生明显的镇静、镇痛作用。关键词:右关托嘧啶;喉癌;气管切开;局麻中图分类号:R739.65,R614文献标识码:A文章编号:1673—6273(2014)01—
4、143—04ClinicalAnalysisoftheEffectOfSingle—doseDexmedetomindineOnTracheaIncisionunderLocalAnesthesiainLaryngocarcinomaDUJing,XUDe-sheng,LUJin-le,HUMei-ling,WANGGuo-nian(ThethirdaffiliatedhospitalofHarbinMedicalUniversity,Harbin,Heilongfiang,15oo8~China)ABSTRACTObjective
5、:Toobservetheeffectofsingle—dosedexmedetomindineontracheaincisionunderlocalanesthesiainlaryngocarcinoma.Methods:Fortylaryngocarcinomapatientswhowouldtreatedwithselectivetracheotomyandtracheaincisionwererandomlydividedinto2groups(n=16):dexmedetomindine(Dex)group(groupD)
6、andcontrolgroup(groupC).0.5p~g/kgdexmedetomindinewasinfusedintravenouslyl5minbeforelocalanesthesiaingroupD(within10min),whileequalvolumeofnormalsalinewasinfusedingroupC.Localanesthesiaundergoingincisionoftracheawasperformed5minlatermeanarterialpressure(MAP),heartrate(H
7、R),pulseoxygensaturation(SpO2)andrespirationrate(RR)weremonitoredandrecordedatthetimepointsofpre—administration(TO),beginningoflocalanesthesia(T1),duringskinincision(T2),duringendotrachealanesthesia(T3),duringincisionoftracheastoma(T4).VASscore,Ramsayscoreandoperatingt
8、olerancedegreescorewerealsocalculatedandcompared.Results:ComparedwithTO,thevaluesofMAP,HRatT1一T4ingroupCsignificantly
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