论文部分内容阅读
目的：比较腰硬联合麻醉腹腔镜疝修补术中应用右美托咪定与丙泊酚对患者安全性、有效性以及对呼吸循环功能的影响。方法选择应用右美托咪定辅助腰硬联合麻醉腹腔镜疝修补患者60例，性别不限，平均年龄62±4岁，ASA分级Ⅰ-Ⅱ级，设为A组；选择应用丙泊酚辅助腰硬联合麻醉腹腔镜疝修补术患者60例，性别不限，平均年龄63±3岁，ASA分级Ⅰ-Ⅱ级，设为B组。比较两组患者在术中不同时段的血压、心率、脉搏氧饱和度、有无躁动和注药后呼吸暂停情况。结果两种麻醉方法均能满足手术需要，患者均能顺利安全的度过围术期，但A组患者术中较B组呼吸循环功能更加平稳，躁动和注药后呼吸暂停次数也明显少于B组。结论右美托咪定能产生镇静、镇痛和抗交感作用，同时具有可唤醒的特点，在辅助腰硬联合麻醉腹腔镜疝修补术中安全有效，并且能使术中患者的呼吸循环功能更加平稳，减少躁动次数，在锥管内麻醉腹腔镜手术中将有更加广阔的应用价值。“,”Objective To compare Combined spinal-epidural anesthesia laparoscopic hernia repair application security, effectiveness and impact of dexmedetomidine and propofol given to patients with respiratory and circulatory functions. Methods Application dexmedetomidine given Combined spinal-epidural anesthesia assisted laparoscopic hernia repair in 60 patients, male or female, mean age 62 ± 4 years old, ASA gradeⅠ -Ⅱ grade, Make A Group;select propofol auxiliary CSEA 60 cases of laparoscopic hernia repair patients, male or female, mean age 63 ± 3 years old, ASA gradeⅠ -Ⅱ grade, to group B. Two groups were compared in different time intraoperative blood pressure, heart rate, pulse oximetry, with or without agitation and apnea after injection case. Results Both methods can meet the surgery requires anesthesia, the patient can successfully secure through the perioperative period, but surgery patients in group A than in group B is more stable respiratory and circulatory function, the number was significantly less apnea and restless after injection in group B. Conclusion Dexmedetomidine will be able to produce sedation, analgesia and anti-sympathetic role, while having a wake-up features in the secondary lumbar Combined spinal-epidural anesthesia in laparoscopic hernia repair is safe and effective, and make the respiratory and circulatory function in patients with intraoperative more smoothly, reducing the number of restlessness within the cone of anesthesia in laparoscopic surgery have broader application.