简介:【摘要】目的 对老年重症患者使用右美托咪定结合舒芬尼的应用价值进行评价。方法 回顾性截取我院自2020年1月~2022年1月收治的110例老年作为观察对象,结合治疗方法的不同分为常规组和观察组。其中常规组55例患者,使用舒芬尼进行麻醉;观察组患者55例,使用右美托咪定结合舒芬尼的方式进行麻醉,对比两组患者的疼痛情况和不良反应发生率。结果 观察组发生率为1.82%,常规组发生率为16.36%;观察组患者的疼痛情况优于常规组,差异均有统计学意义(P﹤0.05)。结论 当为老年重症患者使用右美托咪定结合舒芬尼进行麻醉时,止痛效果明显,其不良反应发生率较低,值得应用在临床治疗之中。
简介:【摘要】目的 分析右美托咪定对重症脑卒中患者镇静效果及对血清S100β蛋白的影响。方法 选取本院2021年3月-11月期间收治的62例重症脑卒中患者进行研究,并采取随机双盲法将其分为对照组和观察组,每组各31例,给予对照组咪达唑仑,给予观察组右美托咪定,对比两组。结果 观察组血清S100β蛋白水平、镇静和预后效果指标优于对照组,差异具有统计学意义(P<0.05)。结论 右美托咪定用于重症脑卒中患者中,具有良好的镇静和脑保护的效果,能降低血清S100β 蛋白的浓度,促使患者尽快康复,基本不会出现呼吸系统并发症,具有较高的安全性和可靠性,值得推广。
简介: 【摘 要】目的:探讨全身麻醉联合超声引导下神经阻滞对胫骨骨折手术的镇静和麻醉效果。方法:选取 2018年 5月至 2019年 11月本院收治的 120例胫骨骨折手术患者,随机分为两组,每组各 60例。對照组采取全身麻醉,观察组联合采取超声引导下神经阻滞。结果:观察组的唤醒时间、术中丙泊酚用量和拔管时间均明显低于对照组( P<0.05) ;观察组的麻醉满意度评分明显高于对照组, VAS疼痛评分明显低于对照组( P<0.05),两组的 Ramsay镇静评分相比无明显的差异( P>0.05) ;两组寒颤和恶心呕吐的发生情况相比无明显的差异( P>0.05)。结论:全身麻醉联合超声引导下神经阻滞对胫骨骨折手术患者具有较好的镇静和麻醉效果。 【关键词】全身麻醉 ;超声引导 ;神经阻滞 ;胫骨骨折手术 [Abstract] Objective: To investigate the sedative and anesthetic effects of general anesthesia combined with ultrasound-guided nerve block on tibial fracture operation. Methods: from May 2018 to November 2019, 120 patients with tibial fracture were randomly divided into two groups, 60 in each group. The control group was given general anesthesia and the observation group was given nerve block under the guidance of ultrasound. Results: the wake-up time, propofol dosage and extubation time in the observation group were significantly lower than those in the control group (P < 0.05); the satisfaction score of anesthesia in the observation group was significantly higher than that in the control group, the VAS pain score was significantly lower than that in the control group (P < 0.05), and there was no significant difference in Ramsay Sedation score between the two groups (P > 0.05); There was no significant difference between the two groups (P > 0.05). Conclusion: general anesthesia combined with ultrasound-guided nerve block has a better sedative and anesthetic effect on tibial fracture patients.
简介: [摘要 ] 目的 探讨不同浓度罗哌卡因用于超声引导下肌间沟臂丛神经阻滞的麻醉效果分析。 方法 选择 122例上肢手术患者为研究对象,以数字随机分组方式分为两组,均接受超聲引导下肌间沟臂丛神经阻滞,对照组给予 0.3%浓度罗哌卡因,研究组给予 0.5%浓度罗哌卡因。 结果 研究组麻醉完善率、尺神经完全阻滞率、桡神经完全阻滞率、正中神经完全阻滞率、肌皮神经完全阻滞率均高于对照组( P<0.05);研究组镇痛持续时间、运动阻滞恢复时间均长于对照组( P<0.05);研究组麻醉起效时间短于对照组( P<0.05)。 结论 0.5%浓度罗哌卡因用于超声引导下肌间沟臂丛神经阻滞的麻醉效果优于 0.3%浓度罗哌卡因。 [关键词 ] 罗哌卡因;超声引导;肌间沟臂丛神经;阻滞;麻醉效果 [Abstract] Objective To investigate the anesthetic effect of different concentrations of ropivacaine in the application of ultrasound-guided intermuscular groove brachial plexus block. Methods 122 patients with upper extremity surgery were randomly divided into two groups: the control group received 0.3% ropivacaine and the study group received 0.5% ropivacaine. Results the complete anesthesia rate, complete ulnar nerve block rate, complete radial nerve block rate, complete median nerve block rate and complete myocutaneous nerve block rate in the study group were all higher than those in the control group (P < 0.05); the duration of analgesia and recovery time of motor block in the study group were longer than those in the control group (P < 0.05); the onset time of anesthesia in the study group was shorter than that in the control group (P < 0.05). Conclusion 0.5% ropivacaine is better than 0.3% ropivacaine in anesthesia of brachial plexus block under the guidance of ultrasound.
简介:摘要目的对老年患者的麻醉治疗进行研究分析,寻找最佳的麻醉方式。方法2011年至2012年我院共有65例老年患者接受了临床麻醉治疗实验,医生根据患者的情况来进行分组,全麻组、椎管麻醉组合急诊组,对各组患者接受麻醉治疗阶段的身体指标进行监测,并提前进行手术准备。结果此次研究中一共有35例患者接受了全麻,其中的30例患者生命体征无异常情况,30例患者接受了椎管麻醉,有2例存在血糖上升的情况,15例接受急诊,3例效果并不理想。结论根据对老年患者进行麻醉治疗前,应该要提前进行准备工作,对患者的临床资料以及病情进行了解,以便对用药剂量进行控制,有针对的使用药物,为老年患者的麻醉治疗提供安全保障。