2025年4月4日 星期五
首页        期刊介绍        编委会        投稿指南        期刊订阅        广告合作        联系我们        English
河北医学  2017, Vol. 23 Issue (1): 19-21    DOI: 10.3969/j.issn.1006-6233.2017.01.007
  论著 本期目录 | 过刊浏览 | 高级检索 |
右美托咪定对全身麻醉老年患者术后苏醒期躁动及早期认知功能的影响
廖英1, 张丽2
1.四川省成都市西区医院麻醉科, 四川 成都 610036
2.四川省成都市第三人民医院, 四川 成都 610081
Influences of Dexmedetomidine on the Early Cognitive Function and Postoperative Agitation in the Stage of Analepsia in Elderly Patients with General Anesthesia
LIAO Ying, et al
The Xiqu Hospital of Chengdu, Sichuan Chengdu 610036, China
全文: PDF (236 KB)   HTML (0 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 目的: 探讨右美托咪定对全身麻醉老年患者术后苏醒期躁动及早期认知功能的影响。方法: 收集符合标准的患者60例,采用随机数字表法分为观察组和对照组各30例,均给予相同的麻醉,观察组加用右美托咪定,对照组加用等体积的0.9%氯化钠注射液,观察麻醉苏醒期躁动及术后认知功能。结果: 两组手术时间、麻醉时间及自主呼吸恢复时间相似,差异无统计学意义(P>0.05),但苏醒时间观察组明显缩短,差异有统计学意义(P<0.05)。观察组苏醒期躁动发生率16.67%,明显低于对照组的53.33%,差异有统计学意义(P<0.05)。术后1d、术后7d,观察组术后认知功能障碍发生率为13.33%、3.33%,低于对照组的30.00%、16.67%,差异有统计学意义(P<0.05)。结论: 右美托咪定能有效预防全身麻醉老年患者术后苏醒期躁动,减轻麻醉对患者认知功能的影响。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
廖英
张丽
关键词 右美托咪定术后认知功能障碍苏醒期躁动全身麻醉    
AbstractObjective: To investigate the effects of dexmedetomidine on the early cognitive function and postoperative agitation in the stage of analepsia in old patients with general anesthesia. methods: A total of 60 eligible patients were collected and randomly divided into observation group and control group, with 30 patients in each group. All the patients were given the same anesthesia, and the observation group used dexmedetomidine additionally, while the control group used the same volume of 0.9% sodium chloride injection. The postoperative cognitive function and agitation in the stage of analepsia after anesthesia were observed. Results: The two groups had insignificantly different operative times, anesthesia times, and times to recovery of spontaneous breathing (P>0.05); but the observation group had significantly shorter analepsia time than those in control group (P<0.05). The incidence of agitation in the stage of analepsia of the observation group was 16.67%, and was significantly lower than that of the control group (53.33%)(P<0.05). On 1d and 7d after the surgeries, the incidences of postoperative cognitive dysfunction of the observation group were 13.33% and 3.33%, respectively, and were significantly lower than those of the control group (30.00% and 16.67%, respectively)(P<0.05). Conclusion: Dexmedetomidine can effectively prevent from postoperative agitation in the stage of analepsia and lighten the effects of the anesthesia on the cognitive function in old patients with general anesthesia.
Key wordsDexmedetomidine    Postoperative cognitive dysfunction    Agitation in the stage of analepsia    General anesthesia
    
基金资助:四川省成都市科技支撑计划项目,(编号:C20150016)
引用本文:   
廖英, 张丽. 右美托咪定对全身麻醉老年患者术后苏醒期躁动及早期认知功能的影响[J]. 河北医学, 2017, 23(1): 19-21.
LIAO Ying, et al. Influences of Dexmedetomidine on the Early Cognitive Function and Postoperative Agitation in the Stage of Analepsia in Elderly Patients with General Anesthesia. HeBei Med, 2017, 23(1): 19-21.
链接本文:  
http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.01.007     或     http://www.hbyxzzs.cn/CN/Y2017/V23/I1/19
冀ICP备2025106803号    冀公网安备13080202000786号
版权所有 © 2016 《河北医学》杂志社
本系统由北京玛格泰克科技发展有限公司设计开发