右美托咪定辅助硬膜外麻醉在异位妊娠腹腔镜手术的应用被引量：10

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摘要目的观察右美托咪定辅助硬膜外麻醉在异位妊娠腹腔镜手术的应用。方法硬膜外麻醉下行腹腔镜手术的异位妊娠患者60例随机均分为两组:D组气腹开始前10min静脉泵注右美托咪定1μg/kg,术中以0.4μg·kg^(-1)·h^(-1)的速度持续泵注;M组气腹开始前10min静脉泵注0.05mg/kg咪达唑仑,术中以0.05mg·kg^(-1)·h^(-1)的速度持续泵注。记录两组静脉用药前(T0)、气腹开始后15min(T1)、30min(T2)和术毕(T3)时的MAP、HR、脑电双频指数(BIS)和VAS疼痛评分,记录术中不良反应发生情况。结果与M组比较,D组T1~T3时点HR下降(P<0.05),T1、T2时BIS值降低,术中VAS疼痛评分降低(P<0.05),不良反应少。结论右美托咪定复合硬膜外麻醉用于异位妊娠腹腔镜手术时安全、有效。

作者费国方颜伟黄新华

机构地区湖州市妇幼保健院麻醉科

出处《江苏医药》 CAS 2017年第11期812-813,共2页 Jiangsu Medical Journal

关键词右美托咪定硬膜外麻醉腹腔镜手术

分类号 R614 [医药卫生—麻醉学]

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