西南国防医药2017,Vol.27Issue(8):814-816,3.DOI:10.3969/j.issn.1004-0188.2017.08.012
右美托咪定在急性脑出血手术治疗的应用
Application of dexmedetomidine in operative treatment of acute cerebral hemorrhage
罗礼君 1曹德钧 1刘少星1
作者信息
- 1. 610017成都,成都市第二人民医院麻醉科
- 折叠
摘要
Abstract
Objective To observe the application effects of dexmedetomidine in the operative treatment of acute cerebral hemorrhage.Methods A total of 80 patients with acute cerebral hemorrhage admitted to our hospital for operative treatment were randomly divided into a control group and an experiment group(n=40,respectively).Conventional general anesthesia was applied to the control group,and on the basis of this,dexmedetomidine was additionally applied to the experiment group.The heart rate (HR) and mean arterial pressure (MAP) during spontaneous breathing with catheter before anesthesia,after anesthesia induction,five minutes after trachea cannula,60 minutes during the operation and at the end of the operation in the two groups were observed and the amount of propofol and urapidil hydrochloride during operation between the two groups was compared.Results The HR and MAP during spontaneous breathing with catheter after anesthesia induction,five minutes after trachea cannula,60 minutes during the operation and at the end of the operation were lower than those in the control group (P < 0.05),and the amount of propofol and urapidil hydrochloride during operation was significantly less than that in the control group (P < 0.05).Conclusion The addition of dexmedetomidine during operation on patients with acute cerebral hemorrhage can maintain hemodynamic stability,reduce the stress response during anesthesia as well as the amount of propofol and urapidil hydrochloride,and is beneficial to recovery and worthy of clinical popularization and application.关键词
右美托咪定/脑出血/麻醉/心率/平均动脉压Key words
dexmedetomidine/cerebral hemorrhage/anesthesia/HR/MAP分类
医药卫生引用本文复制引用
罗礼君,曹德钧,刘少星..右美托咪定在急性脑出血手术治疗的应用[J].西南国防医药,2017,27(8):814-816,3.