婦產(chǎn)科麻醉與鎮(zhèn)痛中使用右美托咪定的臨床效果分析

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【摘要】目的：研究右美托咪定在婦產(chǎn)科麻醉與鎮(zhèn)痛中的臨床效果。方法：選取120例婦產(chǎn)科手術(shù)患者為研究對象，隨機(jī)將其分為對照組（常規(guī)麻醉）和研究組（常規(guī)麻醉聯(lián)合右美托咪定）。統(tǒng)計(jì)并比較兩組的麻醉結(jié)果。結(jié)果：研究組麻醉起效時(shí)間、達(dá)峰效應(yīng)時(shí)間及術(shù)后清醒時(shí)間均短于對照組，不良反應(yīng)發(fā)生率（3.33%）低于對照組（25.00%），VAS評分低于對照組（P0.05；研究組在T2、T3及T4時(shí)間點(diǎn)的動(dòng)脈壓水平低于對照組（P0.05；研究組術(shù)后12及24h的MMSE評分均高于對照組（P

【關(guān)鍵詞】婦產(chǎn)科；麻醉；鎮(zhèn)痛；右美托咪定

Clinical effect analysis of dexmedetomidine in anesthesia and analgesia in obstetrics and gynecology

ZHAO Ying

Maternal and Child Health Hospital of Changning District， Changning， Shanghai 200000， China

【Abstract】Objective：To study the clinical effect of dexmedetomidine in anesthesia and analgesia in obstetrics and gynecology. Methods：120 patients undergoing obstetrics and gynecology surgery were selected as the research objects，and they were randomly divided into the control group （conventional anesthesia） and thestudy group （conventional anesthesia combined with dexmedetomidine）.The anesthesia results between the two groups were counted and compared.Results：The anesthesia onset time，peak effect time and postoperative waking time of the study group were shorter than those of the control group，the incidence of adverse reactions （3.33%） was lower than that of the control group （25.00%），and the VAS score was lower than that of the control group （P0.05；The arterial pressure levels of the study group at T2，T3 and T4 time points were lower than those of the control group （P0.05；The MMSE scores of the study group at 12 and 24hours after operation were higher than those of the control group （P

【Key Words】Obstetrics and gynecology； Anesthesia； Analgesia； Dexmedetomidine

婦產(chǎn)科手術(shù)具有特殊性，需考慮多種因素的影響，諸如對于剖宮產(chǎn)者，在深度肌松時(shí)需保證不會造成子宮收縮，還需考慮母嬰安全及安全哺乳的問題；婦科手術(shù)者無法避免預(yù)后不良的情況，因此需探討一種更為安全、有效的麻醉方案。（剩余3701字）