右美托咪定用于椎管内麻醉中清醒镇静的临床探讨.docVIP

右美托咪定用于椎管内麻醉中清醒镇静的临床探讨 (四川绵阳四0四医院川北医学院附属第二医院四川绵阳621000) 【摘要】目的：对右美托咪定用于椎管麻醉中清醒镇静的效果和安全性予 以分析和探讨。方法：将2014年1月至2015年12月期间于我院进行椎管内麻 醉的患者84例随机均分两组，分别为观察组和对照组。对照组采用咪唑安定进 行镇静，观察组采用右美托咪定进行镇静。对两组患者麻醉后的清醒镇静效果进 行对比。结果:观察组患者麻醉后的清醒镇静效果明显优于对照组，且Plt;0.05, 差异只有统计学意义。结论：对于椎管麻醉的患者使用右美托咪定进行麻醉后的 清醒镇静效果更优，使得麻醉的安全性更高，可以在很大程度上避免麻醉后危险 情况的发生。值得我们在临床上进一步推广和使用。 【关键词】右美托咪定；椎管内麻醉；清醒镇静 【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752 (2016) 29-0039-02 Clinical study of dexmedetomidine for conscious sedation during spinal anesthesia Zhou Yang, Mianyang 404th Hospital, The Second Affiliated Hospital of North Sichuan Medical College, Sichuan Province, Mianyang 621000, China 【Abstract】 Objective Of the right holder microphones set used for sedation anesthesia in conscious sedation effect and safety to be analyzed and discussed. Methods From January 2014 to December 2015 in our hospital during the period of patients with spinal canal anesthesia in 84 cases randomly divided two groups, observation group and control group respectively. Control group using imidazole stability to calm, observation group using right beautiful mi sedation. Conscious sedation effect of two groups of patients after anesthesia were compared. Results The observation group of patients after anesthesia in conscious sedation effect was better than control group, and P lt; 0.05, the difference is statistically significant. Conclusion In patients with vertebral canal anesthesia using the right after mi set the anesthesia of conscious sedation effect better, making the safety of anesthesia is higher, after anesthesia can largely avoid danger happening. Is worth our further popularization and use in clinic. 【Key words］ The right supporting the mi; Spinal canal anesthesia; Conscious sedation 麻醉是通过药物或者其它方法使患者失去感觉，在手术过程中达到无痛的0 的，为手术治疗提供有利的条件［1］。麻醉具有很高的风险，在麻醉过程中用量 不够，导致患者在手术过程中提前醒来或者冇肌肉抽搐的发生，会给手术带来很 多麻烦和困难，甚至会造成严重的危害，危及患者的生命安全，但是麻醉用药剂 量过大，有可能会导致呼吸衰竭、血压降低、心脏骤停等危险情况，甚至有可能 使患者成为植物人或者脑死亡，麻醉的吋间越久，造成这种情况的几率越人，这 就需要控制好麻醉的用药量，在手术后尽早的清醒。本次研宄通过对2014年1 月至2015