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小剂量右美托咪定在无痛支气管镜活检术中的应用观察 被引量:3

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摘要 目的:观察小剂量右美托咪定应用于无痛支气管镜活检术的麻醉效果及安全性。方法:选择需行全麻支气管镜活检术的30例患者,随机分为观察组(DEX组)和对照组(生理盐水组),每组15例。多时间点监测患者的血压(BP)、心率(HR)、血氧饱和度(Sp O2),计算术中丙泊酚及瑞芬太尼总用量,记录患者术后唤醒时间,并对苏醒期患者进行Ramsay镇静评分和躁动评分。记录时间点为术前(T0)、麻醉诱导前(T1)、气管插管时(T2)、检查开始时(T3)、检查结束时(T4),拔管时(T5)。结果:与对照组相比,观察组患者血流动力学更加平稳,丙泊酚和瑞芬太尼用量减少,苏醒期镇静效果更好,差异均有统计学意义(P<0.05)。结论:小剂量右美托咪定应用于无痛支气管镜活检术可使患者围术期生命体征更加平稳,舒适安全,值得在临床上推广。
作者 朱云霞
出处 《中外医学研究》 2015年第25期30-31,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
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