摘要
目的分析右美托咪定联合盐酸纳布啡用于椎间孔镜手术的麻醉效果及安全性。方法选取2015年1月至2017年12月收治的椎间孔镜手术患者100例,随机平均分为两组,对照组给予1%利多卡因麻醉,观察组给予右美托咪定联合盐酸纳布啡麻醉,比较两组手术效果。结果术中观察组心率、呼吸频率、平均动脉压、视觉模拟疼痛评分、Ramsay评分显著优于对照组相比(P<0.05);手术后观察组麻醉满意度显著高于对照组,不良反应发生率显著低于对照组(P<0.05)。结论针对行椎间孔镜手术的腰椎间盘突出患者给予右美托咪定联合盐酸纳布啡联合麻醉效果优于利多卡因。
Objective To analyze the anesthetic effect and safety of dexmedetomidine combined with nalbuphine hydrochloride for the treatment of intervertebral foramen.Methods From January 2015 to December 2017,100 patients with endoscopic surgery were randomly divided into two groups.The control group was anesthetized with 1%lidocaine,and the observation group was anesthetized with dexmedetomidine combined with nalbuphine hydrochloride.The results of the two groups were compared.Results The heart rate,respiratory rate,mean arterial pressure,visual analogue pain score and Ramsay score in the observation group were significantly better than those in the control group(P<0.05).After Treatment,the satisfaction degree of anesthesia in the observation group was significantly higher than that in the control group,and the adverse reaction rate was significantly lower than that in the control group(P<0.05).Conclusion The combination of dexmedetomidine and nalbuphine hydrochloride is more effective than lidocaine in patients with lumbar disc herniation undergoing intervertebral foramen surgery.
作者
谷腾飞
GU Tengfei(Department of Operative Anesthesiology,People's Hospital,Lianshui County,Jiangsu Province,Huaian,Jiangsu 223400,China)
出处
《大医生》
2019年第5期104-105,共2页
Doctor
关键词
右美托咪定
盐酸纳布啡
腰椎间盘突出
椎间孔镜
麻醉效果
安全性
dexmetomidine
nalbuprenorphine hydrochloride
protrusion of lumbar intervertebral disc
intervertebra hole mirror
anesthesia effect
safety
