右美托咪定在老年骨科患者麻醉中的应用进展.PDFVIP

窑综 述 窑 中国现代医生 2018年5月第56卷第 15期 右美托咪定在老年骨科患者麻醉中的应用进展 刘 洋1 高东艳2银 1.山西医科大学麻醉学系袁山西太原 030001曰2.山西医科大学第二医院麻醉科袁山西太原 030001 [摘要] 右美托咪定作为一种高选择性琢 激动剂袁具有良好的镇静尧镇痛尧抗交感尧抗炎尧器官保护作用等优点袁且 2 不良反应少袁广泛用于临床麻醉遥目前右美托咪定在老年患者麻醉中显示出的优势得到越来越多医师的认可袁本 文就右美托咪定在老年骨科患者的应用做一综述袁旨在为临床应用做指导遥 [关键词] 右美托咪定曰麻醉曰老年骨科患者曰应用进展 [中图分类号] R614.2 [文献标识码] A [文章编号] 1673-9701渊2018冤15-0164-05 Application of dexmedetomidine in anesthesiafor elderly patients with or鄄 thopaedics 1 2 LIU Yang GAODongyan 1.Departmentof Anesthesiology, Shanxi Medical University, Taiyuan 030001, China; 2.Department of Anesthesiology, the SecondHospital of Shanxi MedicalUniversity,Taiyuan 030001, China [Abstract]Dexmedetomidine, as a highly selective 琢 agonist, has advantages including good sedative, analgesic, anti-2 sympathetic, anti-inflammatory and organ protective effects, and has few adverse reactions. And it is widely used in clinical anesthesia. At present, the advantages of dexmedetomidine in anesthesia of elderly patients are recognized by more and more doctors. This article reviews the application of dexmedetomidine in elderly patients with orthopaedics and aimsto guideclinical applications. [Keywords] Dexmedetomidine;Anesthesia; Elderly orthopedics patients;Application progress 老年患者由于活动不便袁骨质疏松袁成为骨折的 的心血管并发症袁因此如何减少患者围术期应激反应 [2] 高发群体袁部分患者还需要多次手术才能痊愈遥 老年 十分必要袁可有效降低不良事件的发生率 遥以往在术 患者还多伴有高血压尧COPD尧糖尿病等慢性内科疾 前给予苯二氮 类药物-咪达唑仑可以减少患者的焦 卓 病袁同时机体各器官功能退化袁生理储备差袁手术过程 虑袁但是对于一些容易激动尧情绪波动大尧超高龄的患 中引起的应激反应过强或者过久袁都会影响患者术后 者袁效果并不理想袁同时不少研究证实苯二氮 类药