右美托咪定联合帝视内镜在全身麻醉气管插管老年患者中的应用效果

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Abstract ObjectiveTo explore the application effect of Dexmedetomidine combined with Disposcope endoscopic in elderly patients with general anesthesia endotracheal intubation.Methods80 cases of elderly patients with general anesthesia surgery in our hospital from January 2013 to December 2015 were selected and divided into the control group and the observation group by taking the digital random tablemethod,each group had 40 cases.In the operation,the control group was used direct laryngoscope in combination with sodium chloride injection,the observation group was used Dexmedetomidine combined with Disposcope endoscope.The change of the average arterial pressure and heart rate before and after intubation were compared between the two groups,and intubation time,recovery time,extubation time, once success rate of intubation and the incidence rate of pharyngeal discomfortwere compared between the two groups.ResultsThe heart rate of the control group after intubation was faster than that before intubation,and themean arterial pressure of the control group after intubation was higher than that before intubation,with significant difference(P＜0.05). Therewas no significant difference in the heart rate and average arterial pressure after and before intubation in the observation group (P＞0.05).The heart rate of the observation group after intubation was slower than that of the control group,and themean arterial pressure of the observation group after intubation was lower than that of the control group, with significant difference (P＜0.05).The intubation time,recovery time,extubation time in the observation group was shorter than that in the control group,with significant difference(P＜0.05).The success rate of intubation in the observation group was 100%,which was higher than 80%in the control group,with significant difference (P＜0.05).The incidence rate of pharyngeal discomfort in the observation group was 10%,which was lower than 28%in the control group, with significant difference (P＜0.05).ConclusionIn elderly patientswith tracheal intubation anesthesia surgery process, using the Dexmedetomidine combined with Disposcope endoscope can be effective to remain stable vital signs in the process of operation,facilitate the smooth progress of the intubation.

Key words： Tracheal intubation Elderly patient General anesthesia Dexmedetomidine Disposcope endoscope

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	XU Chun-cheng

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XU Chun-cheng. Application effect of Dexmedetom idine combined with Disposcope endoscope in elderly patientswith general anesthesia endotracheal intubation[J]. 中国当代医药, 2016, 23(34): 120-122转129.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I34/120

[1]	万向学，郑秋艳.右美托咪定联合可视喉镜用于气管插管老年患者63例疗效评价[J].中国药业，2015，24（16）：67-69.
[2]	El-Tahan MR，Doyle DJ，Khidr AM，et al.Use of the King VisionTMvideo laryngoscope to facilitate fibreoptic intubation in critical tracheal stenosis proves superior to the GlideScope[J].Can JAnesth，2014，61（2）：213-214.
[3]	王晓亮，鲍红光，赵倩，等.帝视内镜与直接喉镜对患者气管插管血流动力学影响的比较[J].中华临床医师杂志（电子版），2012，6（4）：938-940.
[4]	Saricicek V，Mizrak A，Gul R，et al.GlideScope video laryngoscopy use tracheal intubation in patients with ankylosing spondylitis：a series of four cases and literature review[J].J Clin Monit Comput，2014，28（2）：169-172.
[5]	徐伟民.右美托咪定对全麻下腹腔镜胆囊切除术患者苏醒期应激反应的影响[J].山东医药，2011，51（33）：70-71.
[6]	赵霖霖，葛东明，张晓丽，等.帝视观察用内镜在预计困难气管插管中的应用评价[J].上海医学，2012，35（10）：829-832.
[7]	毛文虹，高学.帝视内窥镜引导全麻患者经口气管插管的可行性[J].首都医科大学学报，2013，34（2）：287-291.
[8]	方明，王志萍，李荣，等.帝视观察用内窥镜在清醒困难气管插管的应用[J].江苏医药，2011，37（22）：2666-2668.
[9]	滕文娇，吴秀英.帝视内镜与关节喉镜在已预料到困难气道双腔支气管插管中应用的比较[J].中国医科大学学报，2014，43（11）：1041-1043.
[10]	骆璇，王喆妍，吴瑶，等.帝视观察用内窥镜在困难气道双腔气管导管插管的应用[J].江苏医药，2012，38（19）：2328-2329.
[11]	师小伟，刘莎莎，刁枢，等.Discopo引导气管插管对老年高血压患者心血管反应的影响[J].实用医学杂志，2015，41（18）：2978-2980.
[12]	马立靖，马璨，李冬梅，等.预注右美托咪定的镇静效应及其对全麻患者气管插管反应的影响[J].临床麻醉学杂志，2012，28（7）：637-639.
[13]	赵瑞祯，宋苗苗，翁浩，等.帝视内窥镜引导清醒气管插管在困难气道患者中的应用[J].中国医药导报，2015，12 （16）：137-140.
[14]	王晓亮，葛亚力，尹加林，等.帝视内窥镜引导左侧双腔支气管导管插管的价值[J].中华麻醉学杂志，2013，33（11）：1368-1371.
[15]	李秋军，彭云，王庚，等.右美托咪定在老年患者腰椎术全麻中的应用及综合评价[J].中国生化药物杂志，2015，40（12）：59-60，63.
[16]	杨晓玲，周述芝.右美托咪定、咪达唑仑对腹腔镜胆囊切除术全麻患者气管插管拔管期心血管应激反应的影响[J].山东医药，2013，53（3）：50-52.
[17]	张珍妮，雷晓鸣，吕建瑞，等.右美托咪定对全麻下老年患者全膝关节置换术应激反应和拔管反应的影响[J].临床麻醉学杂志，2013，29（10）：941-944.
[18]	Shin DH，Choi PC，Han SK，et al.Tracheal intubation during chestcompressionsusing Pentax-AWS®，GlideScope®，and Macintosh laryngoscope：a randomized crossover trial using amannequin[J].Can JAnesth，2011，58（8）：733-739.
[19]	刘义超，郭庆艳，杨文超，等.右美托咪定用于全身麻醉的临床研究[J].中国医药科学，2014，4（21）：108-110.
[20]	张旺龙，谭家香，关瑞宁，等.盐酸右美托咪定在危重症患者机械通气的临床研究[J].中国医药科学，2014，4（12）：82-83，111.