右美托咪定对行宫颈癌根治术且合并高血压的患者围术期血压、心率及苏醒质量的影响Effects of hemodynamics and recovery quality of Dexmedetomidine in the period of perioperative to patients with cervical cancer combined with hypertensive
张文钰;卢焱;王玥;车向明;
摘要(Abstract):
目的分析右美托咪定对行宫颈癌根治术且合并高血压的患者围术期血压、心率及苏醒质量的影响。方法将本院2016年1月至2017年1月收治的97例行宫颈癌根治术且合并高血压的患者随机分为观察组(47例)和对照组(50例),观察组患者采用右美托咪定+丙泊酚+瑞芬太尼+罗库溴铵联合麻醉,对照组患者采用丙泊酚+瑞芬太尼+罗库溴铵麻醉。比较两组患者不同时间点的收缩压、舒张压及心率、手术时间、睁眼时间、拔管时间、视觉模拟评分法(visual analogue scale,VAS)评分以及手术医师的术中满意度。结果麻醉前,两组患者的收缩压、舒张压及心率比较均无显著差异(P>0.05);气管插管时、气腹起始、气腹后15分钟、气腹后30分钟,观察组患者的收缩压、舒张压及心率均显著低于对照组(P<0.05)。两组患者手术时间比较无显著差异(P>0.05),观察组患者睁眼时间和拔管时间均显著短于对照组(P<0.05),拔管后10分钟VAS评分显著低于对照组(P<0.05),手术医师术中总满意率显著高于对照组(P<0.05)。结论对于行宫颈癌根治术且合并高血压的患者,右美托咪定+丙泊酚+瑞芬太尼+罗库溴铵联合麻醉效果满意,稳定术中患者的血压和心率,有助于患者尽快苏醒,安全性较高。
关键词(KeyWords): 右美托咪定;高血压;宫颈癌根治术
基金项目(Foundation):
作者(Authors): 张文钰;卢焱;王玥;车向明;
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