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目的探究子宫肌瘤剔除术中右美托嘧啶腰硬麻醉的镇静效果与作用。方法选取我院收治的74例子宫肌瘤患者,均需要行子宫肌瘤剔除术治疗。随机分为两组,对照组(37例)患者采用瑞芬太尼麻醉,实验组(37例)患者采用右美托嘧啶麻醉,对两组患者麻醉效果进行对比分析。结果在手术前与术毕两组患者的HR、BIS与Ramsay评分比较差异不显著,P>0.05,无统计学意义。在手术30min时段,实验组的HR、BIS水平明显低于对照组与术前,而实验组的Ramsay评分明显高于对照组与术前,对比差异显著(P<0.05),具有统计学意义。结论在子宫肌瘤剔除术中采用右美托嘧啶腰硬麻醉,可以达到较好的镇静作用,其不良反应发生率较低,具有较高的安全性与可靠性。值得临床推广使用。
Objective To investigate the sedation effect and effect of dexmedetomidine spinal anesthesia in myomectomy. Methods Totally 74 patients with uterine fibroids admitted to our hospital were treated with myomectomy. The patients in the control group (37 cases) were treated with remifentanil. The patients in the experimental group (37 cases) were treated with dexmedetomidine anesthesia. The anesthetic effects were compared between the two groups. Results There was no significant difference in HR, BIS and Ramsay scores between the two groups before and after operation (P> 0.05). There was no statistical significance. During the 30-minute operation, the HR and BIS levels in the experimental group were significantly lower than those in the control group and preoperatively, while the Ramsay scores in the experimental group were significantly higher than those in the control group (P <0.05), showing statistically significant. Conclusions Demyotaxine and spinal dexamethasone anesthesia in the myomectomy can achieve better sedation, with a lower incidence of adverse reactions and higher safety and reliability. It is worth to promote clinical use.