Zhou H D, Jiang H F, Zhu Y J, Shen J, Fang J
Department of Anesthesiology, Zhejiang Cancer Hospital, Hangzhou 310022, China.
Zhonghua Yi Xue Za Zhi. 2018 Nov 27;98(44):3584-3586. doi: 10.3760/cma.j.issn.0376-2491.2018.44.007.
To observe the effects of dexmedetomidine on cerebral oxygen saturation and postoperative recovery in elderly patients with ovarian cancer. Sixty elderly patients with ovarian cancer were randomly divided into two groups. Both groups were given total intravenous anesthesia. Patients in group D were given a loading dosage of dexmedetomidine 0.5 μg/kg, followed by continuous infusion 0.2 μg·kg(-1)·h(-1) until 30 minutes before the end of operation. Group C were given normal saline at the same time. The cerebral oxygen saturation was observed and recorded before anaesthesia (T0), an hour after operation (T1), the end of operation (T2) and 30 min after tracheal extubation (T3). The time of extubation and adverse reactions such as restlessness, shivering and respiratory inhibition were observed in both groups. There was no significant difference in cerebral oxygen saturation between the two groups at different time points (>0.05), and the degree of restlessness and its incidence in group D were lower than those in group C, and the adverse reactions such as shivering were lower (<0.05). Dexmedetomidine has no obvious effect on cerebral oxygen saturation in elderly patients with ovarian cancer. It can effectively prevent and reduce postoperative restlessness, does not affect recovery time, and has fewer adverse reactions.
观察右美托咪定对老年卵巢癌患者脑氧饱和度及术后恢复的影响。将60例老年卵巢癌患者随机分为两组。两组均采用全凭静脉麻醉。D组患者给予负荷剂量右美托咪定0.5μg/kg,随后持续输注0.2μg·kg⁻¹·h⁻¹直至手术结束前30分钟。C组同时给予生理盐水。观察并记录麻醉前(T0)、术后1小时(T1)、手术结束时(T2)及气管拔管后30分钟(T3)的脑氧饱和度。观察两组的拔管时间及躁动、寒战、呼吸抑制等不良反应。两组不同时间点脑氧饱和度差异无统计学意义(>0.05),D组躁动程度及其发生率低于C组,寒战等不良反应也低于C组(<0.05)。右美托咪定对老年卵巢癌患者脑氧饱和度无明显影响。它能有效预防和减轻术后躁动,不影响恢复时间,不良反应较少。