石小桥,肖继,刘志文.右美托咪定联合布托啡诺在经皮椎间孔镜手术中的清醒镇静镇痛效果评价.[J].中南医学科学杂志.,2019,(4):378-381, 392.
右美托咪定联合布托啡诺在经皮椎间孔镜手术中的清醒镇静镇痛效果评价
Evaluation of conscious sedation and analgesic effect of dexmedetomidine combined with butorphanol in percutaneous endoscopic transforaminal lumbar discectomy
投稿时间:2019-01-04  修订日期:2019-05-20
DOI:10.15972/j.cnki.43-1509/r.2019.04.010
中文关键词:  经皮椎间孔镜手术  右美托咪定  布托啡诺  清醒镇静镇痛
英文关键词:percutaneous endoscopic transforaminal lumbar discectomy  dexmedetomidine  butorphanol  conscious sedation and analgesia
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作者单位
石小桥 南华大学附属第二医院麻醉科,湖南 衡阳 421001 
肖继 南华大学附属第二医院麻醉科,湖南 衡阳 421001 
刘志文 南华大学附属第二医院麻醉科,湖南 衡阳 421001 
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中文摘要:
      经皮椎间孔镜手术(PELD)目前多采用局部麻醉,该方式需要提供良好的清醒镇静镇痛才能更好的满足手术要求。本研究在常规局麻下行PELD中联合泵注右美托咪定及布托啡诺,旨在观察两者在PELD中的清醒镇静镇痛效果及安全性。结果显示,右美托咪定联合布托啡诺静脉泵注可为PELD提供满意的清醒镇静镇痛,安全可靠,值得推广。
英文摘要:
      Local anesthesia is commonly used in percutaneous endoscopic transforaminal lumbar discectomy(PELD), which requires good conscious sedation and analgesia to better meet the requirements of such surgery. In this study, dexmedetomidine and butorphanol were injected intravenously during PELD under routine local anesthesia, which is to observe the effect and safety of conscious sedation and analgesia in PELD. The results showed that dexmedetomidine combined with butorphanol intravenous pump could provide satisfactory awake sedation and analgesia for PELD, which was safe and reliable and worthy of promotion.
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