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you mei tuo zuo ding ying yong yu fang chan she pin xiao rong shu de lin chuang xiao guo guan cha
Author(s): 
Pages: 517-519
Year: Issue:  6
Journal: Journal of Zhenjiang Medical College

Keyword:  右美托咪定芬太尼房颤射频消融术;
Abstract: 目的:观察右美托咪定在房颤射频消融术中的临床效果。方法:将接受导管射频消融术的房颤患者60例,随机均分为芬太尼组和右美托咪定复合芬太尼组(复合组)。记录患者入室后静卧10 min(T0)、注药后10(T1)、20(T2)、30(T3)、60(T4)、120(T5)min及术毕(T6)的平均动脉压、心率、血氧饱和度(Sp O2),Ramsay镇静评分;同时记录两组患者手术时间、芬太尼的用量、停药后清醒时间、满意度以及术后恶心呕吐的发生率。结果:两组患者的Ramsay镇静评分、手术时间、停药后清醒时间等差异均无统计学意义。复合组在T1、T2时的血压、心率较芬太尼组明显下降(P<0.05),芬太尼用量[(200.8±26.9)μg]亦比芬太尼组[(415.5±52.1)μg]明显减少(P<0.01),满意度、恶心呕吐发生率也明显优于芬太尼组(P<0.05)。结论:在房颤射频消融术中应用右美托咪定复合芬太尼可明显减少芬太尼的用量,提高患者的满意度、降低术后恶心呕吐发生率。
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