观察右美托咪定在妇科手术麻醉诱导期中与舒芬太尼镇痛的联合应用效果并评估其对焦虑抑郁情绪的影响

To observe the combined effect of dexmedetomidine and sufentanil analgesia in the induction period of gynecological surgery and to assess its effect on anxiety and depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(6)
作者
作者单位

河北省邢台市第三医院 ;

摘要
【摘要】目的:观察右美托咪定在妇科手术麻醉诱导期中与舒芬太尼镇痛的联合应用效果并评估其对焦虑抑郁情绪的影响分析。方法:回顾性分析于我院(2021年01月-2023年01月)收治妇科手术患者总计500例,根据麻醉、镇痛药物选择方式不同进行分组,其中以右美托咪定在麻醉诱导期中与舒芬太尼镇痛的250例患者为研究组,另生理盐水+舒芬太尼镇痛的另250例作为对照组。结果:在术后6h、12h、24h研究组疼痛评分及焦虑抑郁情绪评分较术后1h升高,而研究组低于对照组,(P<0.05)。 研究组患者并发症总发生率低于对照组,但术中心率降低率高于对照组,(P<0.05)。结论:在妇科手术中,以右美托咪定与舒芬太尼镇痛的联合应用,可显著平稳患者生命体征,提高麻醉效果,降低术后患者疼痛感与焦虑、抑郁的不良情绪,效果理想。
Abstract
Abstract】Objective: To observe the combined effect of dexmedetomidine and sufentanil analgesia in the induction period of gynecological surgery and to evaluate its effect on anxiety and depression. METHODS: A total of 500 gynecological surgery patients admitted to our hospital (01/2021-01/2023) were retrospectively analyzed and grouped according to the choice of anesthesia and analgesic drugs. 250 patients with dexmedetomidine and sufentanil analgesia during induction of anesthesia were used as the study group, and another 250 patients with saline + sufentanil analgesia were used as the control group. RESULTS: Pain scores and anxiety and depression scores were higher in the study group at 6h, 12h and 24h postoperatively compared with 1h postoperatively, while the study group was lower than the control group, (P < 0.05). The overall complication rate of patients in the study group was lower than that of the control group, but the rate of reduction of intraoperative center was higher than that of the control group, (P<0.05). Conclusion: In gynecological surgery, the combined application of dexmedetomidine and sufentanil analgesia can significantly stabilize patients vital signs, improve the anesthetic effect, and reduce postoperative patients pain and adverse emotions of anxiety and depression, with ideal results.
关键词
【关键词】右美托咪定;妇科手术;麻醉诱导期;舒芬太尼镇痛;联合应用;焦虑抑郁情绪
KeyWord
[Keywords] Dexmedetomidine; gynecological surgery; induction of anesthesia; sufentanil analgesia; combined application; anxiety and depression
基金项目
页码 1461-1464
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吴梦淏*. 观察右美托咪定在妇科手术麻醉诱导期中与舒芬太尼镇痛的联合应用效果并评估其对焦虑抑郁情绪的影响 [J]. 国际精神病学杂志. 2023; 50; (6). 1461 - 1464.

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