右美托咪定改善全麻苏醒期患者血液动力学及医院感染的疗效观察.PDFVIP

物与临床 学信息2018 年6 月第31 卷第12 期 Medical Information. Jun. 2018. Vol. 31. No.12 窑 物与临床窑 美托咪定改善全麻苏醒期患者血液动力学及 医院感染的疗效观察 周刚 达州市通川区康城医院麻醉科袁四川 达州 635000冤 摘 要 目的 分析右美托咪定对全麻苏醒期血液动力学及医院感染的改善效果遥 方法 选取2016 年9 月~2017 年9 月我院收 治的86 例接受腹腔手术的胆结石患者为研究对象袁依据随机数字表法分为观察组和对照组袁各43 例遥 对照组患者均接受本院 传统的全麻诱导及腹腔手术治疗袁 观察组在对照组的基础上实施全麻诱导+右美托咪定诱导镇静遥 比较 组患者术后苏醒时 间尧躁动率尧脉搏指标水平尧呼吸道及伤口感染率情况遥 结果 组患者手术时间及术后苏醒时间比较袁差异无统计学意义 0.05冤袁观察组患者苏醒期躁动发生率低于对照组袁差异有统计学意义 约0.05冤曰观察组患者苏醒期心率尧平均动脉压和脉搏血 氧饱和度均优于对照组袁差异有统计学意义 约0.05冤曰观察组患者苏醒期的医院感染率低于对照组袁差异有统计学意义 约 0.05冤遥结论 全麻诱导前静脉注射右美托咪定可以有效改善患者的血液动力水平袁稳定患者情绪降低躁动比例以及减少术后感 染率袁值得推广应用遥 关键词 右美托咪定曰全麻苏醒期曰脉搏指标曰医院感染 中图分类号 R614 文献标识码 A DOI 10.3969/j .issn.1006-1959.2018.12.039 文章编号 1006-1959 2018冤12-0128-03 Effect of Dexmedetomidine on Improving Hemodynamics and Nosocomial Infection in Patients with General Anesthesia ZHOU Gang (Department of Anesthesiology,Kangcheng Hospital,Tongchuan District,Dazhou 635000,Sichuan,China) Abstract Obj ective To analyze the effect of dexmedetomidine on hemodynamics and nosocomial infection during the resuscitation period of general anesthesia.Methods 86 patients with gallstones who underwent abdominal surgery from September 2016 to September 2017 in our hospital were selected as study subj ects.According to the random number table method,they were divided into observation group and control group,43 cases each.The patients in the control group received conventional anesthesia induction and abdominal surgery.The observation group was induced by induction of general anesthesia plus dexmedetomidine on the basis of the control group.The time of awakeness,agitation rate,pulse