国际麻醉学与复苏杂志   2015, Issue (7): 1-1
    
不同剂量右美托咪定的镇静程度及顺行性遗忘作用的研究
huzhichao, 许鹏程1()
1.河南省商丘市第一人民医院麻醉科
Investigations of the different dose of dexmedetomidine on conscious-sedation and anterograde amnesia
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摘要:

【摘要】目的 观察不同剂量右美托咪定对患者的镇静程度及顺行性遗忘作用的影响。方法 选择年龄≤60岁患者200例,其中男92例,女108例,在腰硬联合麻醉下泵入不同剂量(De0、De1、De2、De3)的右美托咪定,采用OAA/S法观察对患者镇静程度及术后24h回访评定顺行性遗忘作用。结果 与De0组OAA/S评分[De0组各时间点的OAA/S评分均为(5.00±0.00)]比较,De1组、De2组和De3组T2、T3、T4、、T5、T6、T7和T8各时间点的OAA/S评分[De1组OAA/S评分为T2(3.15±0.37)、T3(3.26±0.44)、T4(2.70±0.66 )、T5(2.55±0.60 )、T6(2.40±0.60)、T7(2.05±0.76 )和T8(2.02 ±0.73);De2组OAA/S评分为T2(3.10±0.64)、T3(2.95±0.51)、T4(2.35±0.67)、T5(2.25±0.55)、T6(2.10±0.45)、T7(1.60±0.50)和T8(1.65±0.49);De3组OAA/S评分为T2(3.10±0.31)、T3(2.65±0.49)、T4(1.95±0.39)、T5(1.90±0.45)、T6(1.75±0.44)、T7(1.20±0.62)和T8(1.25±0.64)]及顺行性遗忘程度[De0组无完全遗忘和部分遗忘的病例,无遗忘病例为50例; De1组完全遗忘病例4例,部分遗忘病例35例,无遗忘病例11例;De2组完全遗忘病例15例,部分遗忘病例29例,无遗忘病例6例;De3组完全遗忘病例29例,部分遗忘病例19例,无遗忘病例2例]有统计学意义(P<0.05);与De1组比较,De2组和De3组T3以后的各时间点OAA/S评分及顺行性遗忘程度有明显差异(P<0.05);与De2组比较,De3组T3以后的各时间点OAA/S评分及顺行性遗忘程度也有统计学意义(P<0.05)。结论右美托咪定具有良好的镇静以及一定的顺行性遗忘作用,且其呈剂量依赖性。

关键词: 右美托咪定;镇静;顺行性遗忘;
Abstract:

【Abstract】Objective To study effects of dexmedetomidine combined with spinal-epidural anesthesia on conscious-sedation and anterograde amnesia. Methods By OAA/S Method, we investigated 200 examples of the patients who were pumped diffent doses of dexmedetomidine combined with spinal-epidural anesthesia in order to studing effects of dexmedetomidine on conscious-sedation and anterograde amnesia. In 24h after operation, we investigated anterograde amnesia of those..Results Compared with De0 group [the OAA/S,s scores of De0 group of conscious-sedation was(5.00±0.00)at T2, T3,T4,T5,T6,T7 and T8 point], there were statistically significant of the different dose of dexmedetomidine on the OAA/S,s scores of conscious-sedation at T2, T3,T4,T5,T6,T7 and T8 point [The OAA/S,s scores of De1 group of conscious-sedation was(3.15±0.37)at T2 point,(3.26±0.44)at T3 point,(2.70±0.66 )at T4 point,(2.55±0.60 )at T5 point,(2.40±0.60)at T2 point,(2.05±0.76 )at T7 point,(2.02 ±0.73)at T8point;The OAA/S,s scores of De2 group of conscious-sedation was(3.10±0.64)at T2 point,(2.95±0.51)at T3 point,(2.35±0.67)at T4 point,(2.25±0.55)at T5 point,(2.10±0.45)at T6point,(1.60±0.50)at T7point,(1.65±0.49)at T8 point;The OAA/S,s scores of De3 group of conscious-sedation was (3.10±0.31)at T2 point,(2.65±0.49)at T3 point,(1.95±0.39) at T4 point,(1.90±0.45)at T5 point,(1.75±0.44)at T6 point,(1.20±0.62)at T7 point,(1.25±0.64) at T8 point.]and the degree of anterograde amnesia[there was not anterograde amnesia of the De0 group,but there were 4 cases on total amnesia,35 cases part amnesia,11 cases no amnesia in theDe1 group; there were 15 cases on total amnesia,29 cases part amnesia,6 cases no amnesia in the De2 group,but there were 29 cases on total amnesia,19 cases part amnesia,2 cases no amnesia in the De3 group,] among other groups(P<0.05).Compared with De1 group, there were statistically significant of those both De2 and De3 groups too(P<0.05).Compared with De2 group, the OAA/S,s scores of De3 group of conscious-sedation and the degree of anterograde amnesia had become lower (P<0.05).Conclusion There were better conscious-sedation and anterograde amnesia of dexmedetomidine,and those had dose dependent.

Key words: dexmedetomidine; conscious-sedation; anterograde amnesi