对肥胖糖尿病患者行丙泊酚和右美托咪定的效果及对胃旁路术后麻醉复苏质量的影响

目的探讨肥胖糖尿病患者行丙泊酚和右美托咪定的效果及对胃旁路术后麻醉复苏质量的影响。方法选取医院2016年1月-2019年1月期间诊治的肥胖糖尿病患者中选取106例作研究对象,均实施胃旁路手术,并随机分组:对照组(n=53)单纯采取右美托咪定麻醉,研究组(n=53)行丙泊酚复合右美托咪定麻醉,比较两组患者术后麻醉复苏质量差异。结果研究组术后平均OAA/S评分高于对照组(4.36±0.42)分vs(3.22±0.75)分](t=9.655,P=0.000),术后VAS(视觉模拟评分法)评分低于对照组(2.33±0.21)分vs(5.19±0.86)分](t=23.520,P=0.000);研究组患者麻醉后睁眼时间、恢复定向力时间均短于对照组(13.35±1.18)min、(98.12±3.54)min vs(16.88±1.54)min、(112.48±6.47)min]。结论肥胖糖尿病患者在胃旁路术中应用丙泊酚、右美托咪定联合麻醉,可提高术后麻醉复苏质量,减轻术后疼痛感。

Effect of Propofol and Dexmedetomidine on Obese Diabetic Patients and Its Effect on the Quality of Anesthesia Resuscitation after Gastric Bypass

Objective To investigate the effect of propofol and dexmedetomidine on the quality of anesthesia and resuscitation after gastric bypass in obese and diabetic patients.Methods A total of 106 obese and diabetic patients diagnosed and treated in the hospital from January 2016 to January 2019 were selected as the research subjects.All patients underwent gastric bypass surgery and were randomly divided into groups:the control group(n=53)was treated with dexmedetomium alone.In the study group(n=53),propofol combined with dexmedetomidine anesthesia was performed to compare the difference in the quality of postoperative anesthesia and resuscitation between the two groups.Results The average postoperative OAA/S score of the study group was higher than that of the control group(4.36±0.42)points vs(3.22±0.75)points](t=9.655,P=0.000),and the postoperative VAS(Visual Analog Scoring)score was lower than the control group(2.33±0.21)points vs(5.19±0.86)points](t=23.520,P=0.000);the eye opening time and recovery time of the study group were shorter than those in the control group(13.35±1.18)min,(98.12±3.54)min vs(16.88±1.54)min,(112.48±6.47)min].Conclusion The use of propofol and dexmedetomidine combined with anesthesia in patients with obesity and diabetes can improve the quality of postoperative anesthesia and reduce postoperative pain.