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时间:2020-04-25
《右美托咪定在颅内血肿清除术中的应用-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、吉林医学2013年12月第33卷第34期·7125·右美托咪定在颅内血肿清除术中的应用罗亮(四川省成都市第二人民医院麻醉科,四川成都610017)[摘要]目的:观察右美托咪定在颅内血肿开颅清除术中的应用效果。方法:行颅内血肿清除术的患者38例,随机分为右美托米啶(M)组和对照(N)组。M组在10min内静脉输注1ks右美托咪定,术中右美托米啶0.2一O.5邺/(kg·h)泵注维持至切开硬脑膜后停药,N组泵注等容量生理盐水。观察用药前(T0)、用药后(T)、气管插管前()、气管插管后(T3)、手术后即刻(T4)、手术后60min(Tj
2、)和手术结束时(T6)各时点SBP、DBP、MAP和HR值,记录术中的丙泊酚用量和血管活性药物的用量。结果:M组T0一T6各时点间,SBP、DBP和MAP差异无统计学意义(P>0.05),Tl—T6各时点HR差异无统计学意义(P>0.05),均明显低于T0时点(P3、流动力学ApplicationofdexmedetomidinetoclearintracranialhematomaLUOLiang(DepermentofAnesthesiology,ChengduSecondPeople5HospitalChengdu610017,)Abstract:ObjectiveToobservethe叩pllea~onefectofdexmedetomidinetoclearintracrauialhematoma.Method38patientsu~er-ingfromclearingtheintm4、erauialhematoma,weredividedintodexmedetomldine(M)groupandcontrol(N)group.Mgrouphadcontinuousintravenousinfusion1g/kgdexmedetomidlnein10rain,intheoperationdexmedetomidinewascontinuouedin~avenousinfusiono.2—0.5g/(kg.h)untilthecutupduramater,Ngrouphadequalcapacityphysiolo5、glealsalineinfusions.ObservedtheSBP,DBP,MAPandHRvaluesbeforedrug(To),afterclrug(TI),beforeendotraehealintubation(T2)andafterendotraehealintubafion(L),immediatelyaf-tersurgery(T4),60minutesaftersurgery()andattheendofthesurgery(TO),andrecorcdconsumptionsofpropofolandvaso6、aetive&.gents.ResultsBetweentheeachpointofTO—T60fMgroup,SBP,DBPandMAPhadnostatisticdiference(P>O.05),BetweentheeachpointofTl—TOofMgroup,HRhadnostatisticdiference(P>0.05),obviouslywaslowerthantheTopointintime(P<0.01).SBP,DBP,MAPandHRofT2pointofNgroupwereobviouslylowerth7、antheT8、一T6pointsintime(P9、t8.KeyWords:Dexmedetomidine;Intraeranlalhematoma;Hemodynamlcs气管插管和开颅引起的强烈的手术刺激常常引起交感神共9例(其中慢性硬膜下血肿6例、急性硬膜外血肿3例),年经兴奋,
3、流动力学ApplicationofdexmedetomidinetoclearintracranialhematomaLUOLiang(DepermentofAnesthesiology,ChengduSecondPeople5HospitalChengdu610017,)Abstract:ObjectiveToobservethe叩pllea~onefectofdexmedetomidinetoclearintracrauialhematoma.Method38patientsu~er-ingfromclearingtheintm
4、erauialhematoma,weredividedintodexmedetomldine(M)groupandcontrol(N)group.Mgrouphadcontinuousintravenousinfusion1g/kgdexmedetomidlnein10rain,intheoperationdexmedetomidinewascontinuouedin~avenousinfusiono.2—0.5g/(kg.h)untilthecutupduramater,Ngrouphadequalcapacityphysiolo
5、glealsalineinfusions.ObservedtheSBP,DBP,MAPandHRvaluesbeforedrug(To),afterclrug(TI),beforeendotraehealintubation(T2)andafterendotraehealintubafion(L),immediatelyaf-tersurgery(T4),60minutesaftersurgery()andattheendofthesurgery(TO),andrecorcdconsumptionsofpropofolandvaso
6、aetive&.gents.ResultsBetweentheeachpointofTO—T60fMgroup,SBP,DBPandMAPhadnostatisticdiference(P>O.05),BetweentheeachpointofTl—TOofMgroup,HRhadnostatisticdiference(P>0.05),obviouslywaslowerthantheTopointintime(P<0.01).SBP,DBP,MAPandHRofT2pointofNgroupwereobviouslylowerth
7、antheT
8、一T6pointsintime(P9、t8.KeyWords:Dexmedetomidine;Intraeranlalhematoma;Hemodynamlcs气管插管和开颅引起的强烈的手术刺激常常引起交感神共9例(其中慢性硬膜下血肿6例、急性硬膜外血肿3例),年经兴奋,
9、t8.KeyWords:Dexmedetomidine;Intraeranlalhematoma;Hemodynamlcs气管插管和开颅引起的强烈的手术刺激常常引起交感神共9例(其中慢性硬膜下血肿6例、急性硬膜外血肿3例),年经兴奋,
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