国际麻醉学与复苏杂志   2011, Issue (3): 0-0
    
右旋美托咪啶对后腹腔镜手术术后恢复的影响
郝静, 吴浩, 马正良, 金陵, 顾小萍, 兰青1()
1.南京大学医学院附属鼓楼医院
The Effect of Dexmedetomidine on the Quality of Anaesthesia Recovery in Patients Undergoing Retroperitoneal Laparoscopy
 全文:
摘要:

【摘要】目的:观察右旋美托咪啶对行后腹腔镜手术患者术后恢复以及麻醉并发症的影响。方法:选择择期后腹腔镜手术40例(ASA I-II级),抽签法随机分成实验组(D组)和对照组(C组)。D组患者给予0.5μg·kg-1右旋美托咪啶泵注10min,C组患者给予相同剂量生理盐水,随后行常规诱导插管。术中D组继续泵注右旋美托咪啶0.4μg·kg-1·h-1,C组给予同等剂量的生理盐水,术后送入恢复室观察停止麻醉后患者睁眼时间、拔管及离室时间,记录手术前(T0)、入恢复室时(T1)、苏醒时(T2)、拔管时(T3)、及离室时(T4)患者的BP、HR、SPO2,记录有无恶心呕吐及寒战的发生。结果:①恢复期两组患者睁眼、拔管及离室时间没有显著差异;○2与T0相比,D组患者在T2及T3血压无显著变化,C组患者血压升高;○3恢复期C组患者恶心呕吐及寒战的发生率显著高于D组(30% vs 0%,40% vs 10%),差异有统计学意义。结论:右旋美托咪啶诱导及维持用药不延长术后苏醒时间,同时恢复期恶心呕吐及寒战的发生率下降。

关键词: 右旋美托咪啶;全凭静脉麻醉;后腹腔镜手术;术后并发症.
Abstract:

【Abstract】Objective: To observe the effect of dexmedetomidine (DEX) on the quality of anaesthesia recovery in patients undergoing retroperitoneal laparoscopy. Methods: Forty American Society of Anesthesiologists (ASA)I-II patients were randomised assigned to two groups. Group D received DEX 0.5μg·kg-1 as bolus before induction and 0.4μg·kg-1·h-1 by infusion. Group C received equal volume of normal saline as Group D intravenously without DEX.All other induction and maintenance drugs were same in two groups. All patients were sent to PACU after operation, HR, MAP, and SPO2 of each patients before anesthesia(T0) and when they arrived PACU(T1), opened eyes(T2), extubate(T3) and leave PACU(T4) were recorded.The numbers of patients who have nausea and vomiting or shivering during anaesthesia recovery were also recorded.Results: Time of extubation and postanesthesia care unit discharge time were similar in both groups. While compared with T0, MAP of Group D did not change significantly at T2 and T3, but MAP of Group C increased. The number of patient who have nausea and vomiting or shivering were significantly higher in Group C while compared with Group D(30% vs 0%, 40% vs 10%).Conclusion: DEX did not prolong the Time of extubation and postanesthesia care unit discharge time, at the same time can decrease the incidence of nausea and vomiting or shivering during anaesthesia recovery.

Key words: dexmedetomidine; total intravenous anesthesia; retroperitoneal laparoscopy; anesthesia recovery.