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右美托咪定在逆行性胰胆管造影中的应用
引用本文:郑艇,郑春英,吴晓丹,郑晓春. 右美托咪定在逆行性胰胆管造影中的应用[J]. 临床麻醉学杂志, 2011, 27(3)
作者姓名:郑艇  郑春英  吴晓丹  郑晓春
作者单位:福建省立医院麻醉科,福建医科大学省立临床学院麻醉教研室,福州市,350001
摘    要:目的 比较静脉输注右美托咪定和靶控输注丙泊酚在内镜逆行性胰胆管造影(ERCP)中的作用.方法 30例ERCP患者随机分为两组:P组靶控输注(TCI)丙泊酚,D组恒速输注右美托咪定.记录不同时点的Richmond躁动镇静量表(RASS)评分,监测生命体征,并统计术中体动发生率和舒芬太尼用量.结果 D组用药后15 min、ERCP期间RASS评分均明显高于P组(P<0.05);入恢复室即刻、入恢复室后15 min的RASS评分均明显低于P组(P<0.05);但D组ERCP术中体动发生率、舒芬太尼用量均高于P组,且MAP下降,HR减慢较P组明显(P<0.05).结论 右美托咪定用于ERCP的麻醉效果与丙泊酚不等同,且血流动力学更不稳定.

关 键 词:右美托咪定  内镜逆行性胰胆管造影  丙泊酚

The application of dexmedetomidine in encoscopic retrograde cholangio-pancreatography
ZHENG Ting,ZHENG Chun-ying,WU Xiao-dan,et al.. The application of dexmedetomidine in encoscopic retrograde cholangio-pancreatography[J]. The Journal of Clinical Anesthesiology, 2011, 27(3)
Authors:ZHENG Ting  ZHENG Chun-ying  WU Xiao-dan  et al.
Affiliation:ZHENG Ting,ZHENG Chun-ying,WU Xiao-dan,et al.Department of Anesthesiology,Fujian Provincial Hospital,Fujian Medical University,Fuzhou 350001,China
Abstract:Objective To examine anesthetic effect of dexmedetomidine infusion/target-controlled infusion with propofol during encoscopic retrograde cholangio-pancreatography(ERCP).Methods Thirty patients were randomized enrolled into group D(received dexmedetomidine infusion)and group P[received target-controlled infusion(TCI)propofol].The Richmond Alertness-Sedation Scale(RASS)and the vital signs were monitored at different time points.Body movement and amount of sufentanil were recorded during ERCP.Result There were...
Keywords:Dexmedetomidine  Endoscopic retrograde cholangiopanereatography  Propofol  
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