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| 不同剂量右旋美托咪啶对老年患者全麻苏醒期躁动及气管拔管反应的影响 | |
| 引用本文： | 刘焕仪,张欢欢,许学兵,许立新. 不同剂量右旋美托咪啶对老年患者全麻苏醒期躁动及气管拔管反应的影响[J]. 护理学杂志, 2011, 0(18): 8-10. DOI: 10.3870/hlxzz.2011.18.003 |
| 作者姓名： | 刘焕仪 张欢欢 许学兵 许立新 |
| 作者单位： | 广州市第一人民医院麻醉科（广东广州，510180） |
| 摘 要： | 目的观察不同剂量右旋美托咪啶对老年患者苏醒期躁动及气管拔管反应的影响。方法选择择期上腹部手术老年患者80例,随机分为对照组,右旋美托咪啶干预D1、D2和D3组各20例。手术结束前5 min对照组静脉注射0.9%氯化钠注射液20 ml;D1、D2和D3组分别单次缓慢静脉注射右旋美托咪啶0.2μg/kg、0.3μg/kg、0.4μg/kg。结果对照组苏醒拔管期间平均动脉压、心率波动显著,D1、D2、D3组较平稳;四组躁动、呛咳发生率比较,差异有统计学意义(均P<0.05);D3组苏醒时间显著长于其他三组(均P<0.05)。结论单次静脉注射右旋美托咪啶0.3μg/kg可有效降低腹部手术老年患者麻醉苏醒期躁动发生率,减少气管拔管反应而不延长气管拔管时间。 |
| 关 键 词： | 老年患者 全身麻醉 苏醒期 右旋美托咪啶 躁动 气管拔管反应 血流动力学 |
Effects of different doses of dexmedetomidine on agitation and extubation reactions in emergence period after general anesthesia in elderly patients |
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| Liu Huanyi,Zhang Huanhuan,Xu Xuebing,Xu Lixin. Effects of different doses of dexmedetomidine on agitation and extubation reactions in emergence period after general anesthesia in elderly patients[J]. Journal of Nursing Science, 2011, 0(18): 8-10. DOI: 10.3870/hlxzz.2011.18.003 | |
| Authors: | Liu Huanyi Zhang Huanhuan Xu Xuebing Xu Lixin |
| Affiliation: | (Department of Anesthesia,The First People′s Hospital of Guangzhou,Guangzhou 510180,China) |
| Abstract: | Objective To observe the effects of different doses of dexmedetomidine on agitation and extubation reactions in emergence period after general anesthesia in elderly patients.Methods Eighty patients aged 65-95 years undergoing elective abdominal operation under general anesthesia were studied and divided into 4 groups,with 20 patients in each group.The control group received intravenous injection of 20 ml saline,and the other 3 groups were given intravenous injection of different doses of dexmedetomidine 0.2... |
| Keywords: | elderly patients general anesthesia emergence period dexmedetomidine agitation extubation reaction hemodynamics |
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