Clinical effect of different anesthetic administration methods of dexmedetomidine in gynecological laparoscopic surgery
右美托咪定不同麻醉给药方式在妇科腹腔镜手术中的临床效果

摘要

目的 分析在妇科腹腔镜手术治疗中应用不同麻醉方式给药右美托咪定的临床价值。方法 纳入研究对象经随机数字表法分组，共有68例接受妇科腹腔镜手术治疗的患者，纳入时间：2020年5月至2022年5月，两组麻醉诱导方案相同，应用持续泵入右美托咪定维持麻醉于对照组（n=34），应用单次静脉注射右美托咪定维持麻醉于观察组（n=34），观察指标：气腹、平均动脉压、临床指标与不良反应发生率。结果 气腹建立后，观察组心率、平均动脉压、不良反应发生率均低于对照组，观察组麻醉恢复时间、拔管时间与定向力恢复时间均短于对照组（P<0.05）。结论 在妇科腹腔镜手术患者中，单次注射右美托咪定维持麻醉的应用安全性高，能够维持心率与平均动脉压的稳定，促进恢复。

Abstract

Objective To analyze the clinical value of administering dexmedetomidine in gynecological laparoscopic surgery.
Methods: A total of 68 patients undergoing laparoscopic surgery, from May 2020 to May 2022, the anesthesia induction regimen was the same, continuous pump into the maintenance anesthesia in the control group (n=34), a single intravenous injection maintenance anesthesia (n=34) in the observation group, observation indicators: pneumoperitoneum, mean arterial pressure, clinical index and incidence of adverse reactions.
Results: After the establishment of pneumoperitoneum, the heart rate, mean arterial pressure and incidence of adverse reactions in the observed group were lower than that of the control group, and the anesthesia recovery time, extubation time and directional force recovery time were shorter than that of the control group (P <0.05).
Conclusion  : In patients with gynecological laparoscopic surgery, a single injection of X maintenance anesthesia can maintain the stability of heart rate and mean arterial pressure, and promote recovery.