摘要
目的评价右美托咪定对声带息肉摘除术全身麻醉效果的影响效果。方法研究资料选取时间设定为2022年5月~2023年7月,研究对象取自我院就诊的声带息肉摘除术患者,统计出病例数84例,依据随机数字表法为原则分组,对照组和观察组各分配42例,对应采取瑞芬太尼和右美托咪定麻醉处理,对比分析两组患者不同时间段的心率和动脉压的变化、术后并发症以及麻醉镇痛效果。结果从T1开始,后续各时段两组患者的心率和动脉压指标均有所上升,但对照组的上升幅度更大,观察组的指标变化幅度较小,两组对比差异有统计学意义(P<0.05);相较于对照组,观察组患者的自主呼吸恢复时间、拔管时间、解除监护时间均明显更短,统计差异有意义(P<0.05);观察组治疗后的并发症发生率明显低于对照组,统计结果P<0.05;以对照组结果为参照,观察组患者拔管后不同时间段的疼痛评分均明显更低,组间差异有意义(P<0.05)。结论声带息肉摘除术治疗中选择右美托咪定的麻醉效果好,安全性高,能快速、稳定苏醒,对生命体征指标影响小,疼痛感明显减轻,值得临床采纳。
Objective To evaluate the effect of dexmedetomidine on the general anesthesia of vocal cord polypectomy.Method The research data was selected from May 2022 to July 2023.The study subjects selected 84 patients who underwent vocal cord polypectomy at their own hospital,and were divided into two groups based on the principle of random number table.The control group and observation group were assigned 42 cases each,and received anesthesia with remifentanil and dexmedetomidine.The changes in heart rate and arterial pressure of the two groups of patients at different time periods were compared and analyzed Postoperative complications and analgesic effects of anesthesia.Result Starting from T1,the heart rate and arterial pressure indicators of both groups of patients increased in subsequent time periods,but the control group had a larger increase,while the observation group had a smaller change in indicators.The difference between the two groups was statistically significant(P<0.05);Compared with the control group,the observation group had significantly shorter recovery time for spontaneous breathing,extubation time,and release time from monitoring,with statistically significant differences(P<0.05);The incidence of complications after treatment in the observation group was significantly lower than that in the control group,with a statistical result of P<0.05;Using the results of the control group as a reference,the pain scores of patients in the observation group were significantly lower at different time periods after extubation,and there was a significant difference between the groups(P<0.05).Conclusion Choosing dexmedetomidine in the treatment of vocal cord polypectomy has a good anesthetic effect,high safety,can quickly and stably awaken,has little impact on vital signs,significantly reduces pain,and is worthy of clinical adoption.
作者
王小艳
Wang Xiaoyan(Xintai Hospital of Traditional Chinese Medicine,ShanDong,Tai An,271200,China)
出处
《中国医学文摘（耳鼻咽喉科学）》
2024年第3期78-80,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
右美托咪定
声带息肉摘除术
全身麻醉
镇痛效果
Dexmetomidine
Vocal cord polypectomy
General anesthesia
Analgesic effect
