【摘要】 目的:探讨右美托咪定辅助麻醉在老年重症患者术后的应用效果。方法:按照入院顺序随机抽取我院自2015年2月至2017年2月收治的老年重症手术患者80例,分为观察组(n=40)和对照组(n=40)。两组均进行硬膜外麻醉联合全麻。观察组进行右美托咪定静脉注射,对照组进行生理盐水静脉注射。比较两组的谵妄发生率、VAS评分、睡眠质量以及血流动力学指标。结果:对照组的谵妄发生率、VAS评分均比观察组的低;与对照组的睡眠质量、血流动力学指标比较,观察组的较好,差异显著(P<0.05)。结论:右美托咪定辅助麻醉可有效降低术后谵妄发生率,减轻疼痛,改善睡眠质量,值得借鉴和推广。更多还原

【Abstract】 Objective:To investigate the effect of dexmedetomidine in the treatment of severe elderly patients.Methods:80 cases of severe elderly patients aged from February 2015 to February 2017 were randomly divided into observation group (n=40) and control group (n=40).Epidural anesthesia combined with general anesthesia in both groups.The rats in the observation group were treated with dexmedetomidine and the control group was injected intravenously with saline.The incidence of delirium, VAS score, sleep quality, and hemodynamic parameters were compared between the two groups. Results: The incidence of delirium and VAS in the control group were lower than those in the observationgroup. Compared with the control group, the sleep quality and hemodynamics were better and the difference was significant(P<0.05). Conclusion:Dextromethorphan anesthesia caneffectively reduce the incidence of postoperative delirium, reduce pain, improve sleep quality, it is worth learning and promotion.更多还原