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盐酸右美托咪定对妇科腹腔镜手术患者术后恶心呕吐及镇痛的影响
Effects of Dexmedetomidine on Postoperative Nausea, Vomiting and Analgesia in Patients receiving Gynecological Laparoscopic Surgery
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DOI:
作者:
刘珏莹,陈智,仓静
Jueying Liu,Zhi Chen,Jing Cang
作者单位:
上海交通大学附属仁济医院 上海市复旦大学附属中山医院 上海市复旦大学附属中山医院
Renji Hospital Shanghai Jiaotong University School Of Medicine Zhongshan Hospital Fudan University Zhongshan Hospital Fudan University
关键词:
盐酸右美托咪定;术后恶心呕吐;镇静;镇痛 ;腹腔镜妇科手术
dexmedetomidine hydrochloride PONV sedation analgesia gynecological laparoscopic operation
摘要:
目的 探讨不同剂量盐酸右美托咪定(DEX)能否预防或降低妇科腹腔镜手术患者术后恶心呕吐的发生以及对术后镇痛的影响。方法 选择ASA I一II级全麻下择期行腹腔镜妇科手术患者60例,随机分为3组:A组(DEX0.4µg/kg)(n=20例),B组(DEX0.2µg/kg)(n=20例),对照组(生理盐水)(n=20例)。实验药物均使用生理盐水稀释至10ml。诱导前三组分别用微量泵恒速输注试验用药,时间为10分钟。记录术后睁眼时间、自主呼吸恢复时间、拔管时间、Ramsay镇静评分、苏醒期不良反应及术后24小时病人自控镇痛(PCA)按压总次数,并观察术后0.5h、1h、12h、24h恶心呕吐评分及1h、12h、24h镇痛情况及有无不良反应。结果 T1、T2、T3 PONV发生率 (P<0.05);T2和T4 VAS评分A组和B组显著低于对照组 (P<0.05);A组和B组心动过缓发生率明显高于对照组(P<0.05),A组与B组PCA按压次数均显著低于对照组 (P<0.05),差异有统计学意义。结论 盐酸右美托咪定能显著降低妇科腹腔镜手术PONV的发生率,显著增加后者的镇痛效果。
Objective: To investigate whether dexmedetomidine (DEX) hydrochloride could prevent or reduce the occurrence of postoperative nausea and vomiting (PONV) and the effect of DEX on postoperative analgesia in patients receiving gynecological laparoscopic surgery. Methods: Sixty patients (ASA Class I to II) scheduled for gynecological laparoscopic surgery under general anesthesiawere randomly assigned into 3 groups: high DEX dosage group (0.4 µg/kg, group A); low DEX dosage group (0.2 µg/kg, group B)); and control group (normal saline). All the experimental drugs were diluted with normal saline to 10ml and infused to the patient in 10min before induction..After operation, the time to eyes open, spontaneous breathing recovery and extubation, Ramsay sedation score, adverse events, and the effect PCA pressing time in 24 hourswere recorded. The PONV scores in 0.5, 1, 12, 24 hours, VAS scores in 1, 12, 24 hours and PCA related adverse events were also recorded. Results: The incidences of PONV in group A and B (T1、T2、T3)were lower than the control group (P<0.05). VAS scores (T2、T4)were significantly lower in group A and B than the control group (P<0.05). HR in group A and B was significantly lower than control group(P<0.05). The postoperative analgesic demand in group A and B was significantly lower than control group(P<0.05). Conclusions: The occurrence of PONV in patients recieving gynecological laparoscopic operation could be effectively reduced by 0.2 µg/kg and 0.4 µg/kg dexmedetomidine hydrochloride administration. Keywords: dexmedetomidine hydrochloride PONV sedation analgesia gynecological laparoscopic operation
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