临床研究
Copyright ©The Author(s) 2018.
世界华人消化杂志. 2018-05-28; 26(15): 912-918
在线出版 2018-05-28. doi: 10.11569/wcjd.v26.i15.912
表1 两组患者一般资料比较
分组年龄体重麻醉时间 (min)手术时间 (min)手术方式 (开腹/腹腔镜)合并症
对照组55.2 ± 6.459.8 ± 6.6263.9 ± 37.8237.6 ± 33.517/133
试验组56.1 ± 6.760.2 ± 7.3260.5 ± 40.1240.1 ± 32.918/122
t21.2691.7602.6640.4460.0220.002
P0.4330.3820.2290.6930.8810.991
表2 两组患者不同时间点HR、MAP及BIS等变化比较
分组指标T0T1T2T3T4T5T6
对照组HR84.2 ± 13.983.8 ± 14.172.5 ± 12.3a84.6 ± 14.5cc74.2 ± 11.2a83.2 ± 12.5ce76.8 ± 11.4a
试验组83.7 ± 12.669.1 ± 12.4ac67.8 ± 11.5a67.7 ± 11.7a70.3 ± 10.9a74.9 ± 11.3a76.7 ± 11.6a
t0.66111.3746.51113.7026.34710.0550.135
P>0.05<0.05<0.05<0.05<0.05<0.05>0.05
对照组MAP80.9 ± 8.980.0 ± 8.270.2 ± 6.9a79.3 ± 7.974.2 ± 7.3a86.9 ± 9.4e80.2 ± 8.2e
试验组80.1 ± 8.673.2 ± 7.5ac70.5 ± 7.1a71.3 ± 7.2ace70.7 ± 7.0a80.8 ± 8.8ce81.2 ± 8.6e
t0.9748.0311.0499.0036.8347.1101.235
P>0.05<0.05>0.05<0.05<0.05<0.05>0.05
对照组BIS94.2 ± 2.994.1 ± 2.847.5 ± 5.8a49.2 ± 5.6a48.8 ± 5.4a91.0 ± 3.192.3 ± 3.9
试验组94.5 ± 2.676.3 ± 3.9ac48.1 ± 6.0a47.1 ± 5.8a46.5 ± 5.6a90.7 ± 4.292.0 ± 2.8
t0.37713.7461.2493.1421.4620.8740.093
P>0.05<0.05>0.05<0.05>0.05>0.05>0.05
表3 两组患者VAS评分及Ramsay评分比较
分组时间VAS评分tRamsay评分t
对照组术后1 h2.6 ± 1.13.921<0.051.8 ± 0.86.093<0.05
观察组1.3 ± 0.6a3.4 ± 1.0a
对照组术后4 h2.1 ± 0.83.011<0.051.9 ± 0.72.114<0.05
观察组1.6 ± 0.6a2.6 ± 0.6a
表4 两组患者E、NE浓度变化比较 (n = 30)
分组指标T2T3T5
对照组E58.6 ± 9.386.3 ± 11.986.9 ± 12.1
观察组59.1 ± 9.760.1 ± 8.6ac62.2 ± 8.8ac
对照组NE262.9 ± 66.3501.8 ± 80.5481.6 ± 78.3
观察组270.5 ± 70.4276.8 ± 69.6ac280.5 ± 50.9ac
表5 两组患者丙泊酚、瑞芬太尼用量比较 (n = 30)
分组丙泊酚 (mg)瑞芬太尼 (mg)
对照组1421.5 ± 328.65.3 ± 1.3
观察组1009.8 ± 209.43.2 ± 1.2
t4.983.27
P0.0090.013

引文著录: 邵雅洁, 廖志品, 吴延诲. 胃癌根治术中右美托咪定辅助全身麻醉对患者围术期血流动力学、麻醉药用量以及术后镇静镇痛的影响. 世界华人消化杂志 2018; 26(15): 912-918