Abstract: [Abstract] Objective To observe the effect of single dose dexmedetomine(Dex) on general anesthesia in laparoscpic cholecystectomy. Methods Fifty ASA Ⅰ or Ⅱ patients of both sexes aged 21-57 kg undergoing elective laparoscopic cholecystectomy were randomly divided into 2 groups (n=25 each):dexmedetomine group and control group. Group C (control) received normal saline 10ml and the whole dose was given within 10 minutes. Group D received equal volume of Dex 0.6μg/kg intravenous injection as group C. MAP and HR were recorded at the time points of pre-administration of Dex(T0), 5min after administration(T1), before anesthesia induction(T2), 1 and 2 min after injecting propofol respectively(T3~4), immediately after intubation(T5), 1,3 and 5 min after intubation(T6~8). The following variables were also recorded: duration induction,duration of anesthesia and operation,extubation time,regain consciousness time,coughing when extubating,dosage of propofol or sufentanyl, frequency of cardioactive drug. Results The duration of induction was significantly shorter(P<0.01), coughing when extubating was decreased(P<0.05),and the requirements of propofol or sufentanyl were decrased(P<0.01), but the requirement of atropine was increased in group D than in group C(P<0.05). Compared with T0 or every time points of group D, MAP was significantly decreased at T3~8 in group C(P<0.05). MAP was significantly higher in group D at T1(P<0.05). HR was significantly low in group C at T4 and T5(P<0.05). In addition, HR was significantly low in group D at T1~8(P<0.05),and was significantly low in group D than in group C at T1~3 and T6~8(P<0.05). Conclusion A single dose of Dex given intravenously before induction is beneficial to patients in laparoscopic cholecystectomy.
[Key words] dexmedetomidine; laparoscopic cholecystectomy; general anesthesia
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