摘要
目的研究右美托咪定应用在腰硬联合麻醉当中对老年骨科手术患者所取得的麻醉效果和对患者血压的影响。方法取老年骨科手术患者82例(于2021年1月至2021年12月入我院就诊),以电脑分组的方式随机分为观察组与对照组,均41例。观察组在腰硬联合麻醉当中应用右美托咪定,对照组则通过全身麻醉方法进行麻醉。对不同麻醉之后患者在不同时间段的血压水平、麻醉优良率、麻醉不良反应发生率和疼痛等进行统计比较。结果①T_(0)时刻,两组患者的血压水平无差异(P>0.05),T_(1)、T_(2)、T_(3)时刻,观察组患者的血压水平相对对照组而言更加稳定,符合统计学差异(P<0.05)。②观察组(40例,占97.56%)的麻醉优良率明显比对照组(34例,占82.93%)更高,符合统计学差异(P<0.05)。③观察组(3例,占7.32%)的麻醉不良反应发生率明显比对照组(13例,占31.71%)低、符合统计学差异(P<0.05)。④两组患者术毕时疼痛无明显差异(P>0.05),术后4 h、24 h、72 h,观察组的疼痛明显比对照组更轻,符合统计学差异(P<0.05)。结论对老年骨科手术患者通过腰硬联合麻醉中应用右美托咪定所取得的麻醉效果更好,可以有效的控制患者的血压水平,提升麻醉优良率,安全性较高,且减轻了术后的疼痛,是值得推荐的麻醉策略。
Objective To study the effect of dexmedetomidine in combined spinal-epidural anesthesia on elderly patients with orthopedic surgery and the effect on blood pressure.Methods A total of 82 elderly patients with orthopedic surgery(who were admitted to our hospital from January 2021 to December 2021)were randomly divided into an observation group and a control group by computer grouping,with 41 cases in each.The observation group was given dexmedetomidine in combined spinal-epidural anesthesia,and the control group was anesthetized by general anesthesia.The blood pressure level,excellent and good rate of anesthesia,incidence of adverse reactions of anesthesia and pain in different time periods of patients after different anesthesia were compared.Results(1)At T_(0),there was no difference in blood pressure levels between the two groups of patients(P>0.05).At T_(1),T_(2),and T_(3),the blood pressure levels of the observation group were more stable than those of the control group,which was statistically significant(P<0.05).(2)The excellent and good rate of anesthesia in the observation group(40 cases,accounting for 97.56%)was significantly higher than that in the control group(34 cases,accounting for 82.93%),in line with statistical difference(P<0.05).(3)The observation group(the incidence of adverse reactions of anesthesia in 3 cases,accounting for 7.32%)was significantly lower than that in the control group(13 cases,accounting for 31.71%),and the difference was statistically significant(P<0.05).(4)There was no significant difference in pain at the end of the operation between the two groups.(P>0.05),at 4 h,24 h,and 72 h after operation,the pain in the observation group was significantly lighter than that in the control group,with statistical difference(P<0.05).Conclusion For elderly patients undergoing orthopedic surgery,the application of dexmedetomidine in combined spinal-epidural anesthesia can achieve better anesthesia effect,which can effectively control the blood pressure level of patients,improve the excellent and good rate of anesthesia,with high safety,reduce postoperative complications and relieve pain,a recommended anesthesia strategy.
作者
韩青
HAN Qing(Dongchangfu District Hospital of Traditional Chinese Medicine,Liaocheng City,Shandong Province,Liaocheng 252000,China)
出处
《中国医药指南》
2022年第18期13-16,共4页
Guide of China Medicine
关键词
右美托咪定
腰硬联合麻醉
老年骨科手术
血压水平
麻醉优良率
不良反应
Dexmedetomidine
Combined spinal-epidural anesthesia
Elderly orthopedic surgery
Blood pressure level
Excellent and good rate of anesthesia
Adverse reactions
