江汉大学学报（自然科学版）Issue(3)：93-96,4.
右美托咪定对全麻腹腔镜手术术后CO2蓄积患者复苏阶段的影响
Effects of Dexmedetomidine to Anesthesia Laparoscopic Surgery on Postoperative Recovery Phase CO2 Accumulation Patients
邓方方 1吴昱1
作者信息
- 1. 武汉市第一医院 麻醉科，湖北 武汉 430030
- 折叠
摘要
Abstract
Objective To observe the effects of dexmedetomidine to anesthesia laparoscopic sur⁃gery on postoperative recovery phase CO2 accumulation in patients. Methods Chose patients un⁃dergoing laparoscopic operation. Before the end of operation about 40 min measured arterial blood gas. Selecting 40 cases of patients with PaCO2 70-90mmHg and pH<7. 30. They were randomly divid⁃ed into a control group(group N)and dexmedetomidine group(group D) with 20 cases in each. Be⁃fore the end of operation about 30 min. N group were treated with 0. 9%sodium chloride 10 mL slow intravenous injection. D group were given the dexmedetomidine dubbed 4 μg/mL slow intravenous with dose concentration 0.8 μg/kg. Recorded two groups of patients at extubation(T0),5 min after extubation(T1),30 min after extubation(T2)of heart rate,blood pressure and Riker score. Two groups of patients from extubation to can returned to the ward satisfaction time (T3). Results Compared the group D with N,at T0,T1,T2 time,heart rate,blood pressure,and Riker scores were statistically significant(P <0. 05). Comparison of the two groups was not statistically signifi⁃cant from extubation begin to restore satisfactory and could return to ward(P> 0. 05). Conclu⁃sion Laparoscopic surgery,CO2 accumulation in patients with hypercapnia recovery phase of anes⁃thesia,given dexmedetomidine is safe and effective.关键词
右美托咪定/腹腔镜手术/二氧化碳蓄积Key words
dexmedetomidine/laparoscopic operation/carbon dioxide accumulation分类
医药卫生引用本文复制引用
邓方方,吴昱..右美托咪定对全麻腹腔镜手术术后CO2蓄积患者复苏阶段的影响[J].江汉大学学报（自然科学版）,2014,(3):93-96,4.
