右美托咪啶用于老年腹部手术患者术后镇痛临床观察被引量：4

Clinical observation of dexmedetomidine for postoperative analgesia in elderly patients undergoing abdominal surgery

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摘要右美托咪啶(DEX)是一种高选择性的α2受体激动剂,具有镇静、镇痛、抗焦虑和交感神经抑制的作用,同时对呼吸无抑制作用[1-5]。老年人是临床麻醉中较为特殊的一类人群,其往往存在呼吸、循环等多器官的合并症,临床用药的选择较其他人群需更加慎重,其术后镇痛的选择也需充分评估可能发生的并发症,尽量减少由阿片类药物引发的呼吸、循环抑制。围术期应用右美托咪啶可以减少阿片类药物的剂量,降低阿片类药物相关并发症[6-7]。

作者杜鑫丹范皓曲丕盛张铁山李珍珍

机构地区杭州市红十字会医院麻醉疼痛科

出处《浙江中西医结合杂志》 2019年第2期126-130,共5页 Zhejiang Journal of Integrated Traditional Chinese and Western Medicine

基金浙江省医学会临床科研资金项目(No.2015ZYC-A42)

关键词老年人腹部手术右美托咪啶术后镇痛

分类号 R614 [医药卫生—麻醉学]

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参考文献5

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