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时间:2020-05-02
《右美托咪啶对宫外孕腹腔镜术后寒战的影响.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、第23卷第5期江苏大学学报(医学版)Vo1.23No.52013年9月JournalofJiangsuUniversity(MedicineEdition)Sept.2013右美托咪啶对宫外孕腹腔镜术后寒战的影响刘剑锋,马凤亚,蒋平(江苏大学附属武进医院麻醉科,江苏常州213002)[摘要]目的:评价右美托咪啶(dexmedetomidine,DEX)对腹腔镜宫外孕术后寒战的影响。方法:全麻下行腹腔镜宫外孕手术患者120例,ASA分级I或Ⅱ级,将患者随机分为4组(n=30):生理盐水对照组、右美托咪啶组、输血对照组(输血组)和输血右美托咪啶组(输血DEX组
2、)。4组的麻醉诱导及维持方法相同,术中维持BIS值40~55。右美托咪啶组开放静脉后静脉输注右美托咪啶0.5g·(kg·h)。。至手术结束前0.5h;生理盐水组静脉输注等容量生理盐水;输血DEX组(术中出血大于800mL酌情输注血液)开放静脉后静脉输注右美托咪啶0.5g·(kg·h)至手术结束前0.5h;输血组(术中出血大于800mL酌情输注血液)静脉输注等容量生理盐水;记录术后1h内寒战发生情况。结果:生理盐水组、右美托咪啶组、输血组、输血DEX组寒战发生率分别为50%(15例)、10%(3例)、57%(17例)和20%(6例)。与生理盐水组比较,右美托
3、咪啶组寒战发生率降低,寒战程度减轻(P<0.05);与输血组比较,输血DEX组寒战发生率降低,寒战程度减轻(P<0.05)。结论:右美托咪啶辅助麻醉可降低宫外孕患者麻醉后寒战的发生概率。[关键词]右美托咪啶;寒战;麻醉;手术后并发症[中图分类号]R614.24[文献标志码]A[文章编号]】671—7783(2013)05—0428—04EffectofdexmedetomidineonshiveringafterlaparoscopicsurgeryofectopicpregnancyLIUJianng,MAFeng—ya.JIANGPtngtheAffi
4、liatedwnjinHospitalofJiangsuUniversity,ChangzhouJiangsu213002,China)[Abstract]objective:Toevaluatetheeffectsofdexmedetomidineonshiveringafterlaparoscopiesurgeryofectopicpregnancy.Methods:Atotalof120casesASAIorIIpatientsintheoperationundergeneralan—esthesiainlaparoscopyforectopicpr
5、egnancywererandomlydividedinto4groups(n=30each):normalsa—linecontrolgroup(groupN),dexmedetomidinegroup(groupD)andbloodtransfusioncontrolgroup(groupBb),bloodtransfusiondexmedetomidinegroup(groupBd).Fourgroupsusingthesameanesthesiainductionandmaintenancemethods.BISwasmaintainedat40—
6、55duringsurgery.GroupDreceiveddexmedetomi—dineintravenousinfusionat0.5[xg·(kg·h)~fromimmediatelyafteropenthevineuntil0.5hbeforetheendofoperation,groupNreceivedtheequalvolumeofnormalsaline.GroupBd(whentheamountofbloodlossgreaterthan800mLinfusionofblood)receiveddexmedetomidineintrav
7、enousinfusionat0.5g·(kg·h)一fromimmediatelyafteropeningtheveinuntil0.5hbeforetheendofoperationandgroupBb(whentheamountofbloodlossgreaterthan800mLinfusionofblood)receivedtheequalvolumeofnormalsaline.Theshiveringwithin1hafteroperationwasscoredandrecorded.Results:Theincidencerateofpos
8、tanes—theticshiveringwas50%ingrou
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