实用医学杂志Issue(23)：3720-3722,3.DOI:10.3969/j.issn.1006-5725.2014.23.004
Narcotrend 指数监测下不同速度泵注右美托咪啶对老年患者镇静效应的影响
Sedative effect of different speed of intravenous infusion of dexmedetomidine detected by Narocotrend index on elderly patients
摘要
Abstract
Objective To investigate the sedative effects and the adverse reactions in the elderly patients received different speed of dexmedetomidine (Dex) intravenous infusion. Methods Eighty elderly cases were randomly divided into four groups. Group D0 was the control group, while the group D1, D2 and D3 were the trial groups. The heart rates, blood pressure, SpO2, Ramsay sedation score and Narcotrend value were recorded. Results The sedation onset time of the D2, D3 group was faster than those in the D0 and D1 groups (P <0.05, respectively), and the duration of sedation in groups D2 and D3 were significantly longer than that in the D0 and D1 groups (P < 0.05). Among the four groups, no significant differences in the incidence of hypotension or bradycardia needed vasopressors or atropine to treat and oxygen saturation were shown (P > 0.05). Conclusion Intravenous infusion of Dex by doses of 0.75 ~ 1.0 μg/(kg·h) during hip surgery in the elderly patients under spinal anesthesia could lead to a safe and effective sedation.关键词
右美托咪啶/椎管内麻醉/老年患者/Narcotrend监测Key words
Dexmedetomidine/Spinal anesthesia/Elderly patients/Narcotrend monitoring引用本文复制引用
邓金和,石永勇,招伟贤,陈小杏,李雨泽..Narcotrend 指数监测下不同速度泵注右美托咪啶对老年患者镇静效应的影响[J].实用医学杂志,2014,(23):3720-3722,3.基金项目
广东省科技计划项目 （）
