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目的:探讨右美托咪定在老年患者术后谵妄(POD)护理中的应用效果。方法:选择本院收治的2012年1月-12月择期POD老年患者72例,随机分为右美托咪定组(D组)34例和常规护理组(N组)38例。D组给予以右美托咪定,并给予围术期护理;N组仅给予围术期护理,躁动明显者给予氟哌啶醇,比较两组患者心率、平均动脉压、呼吸、血氧饱和度、意外伤害及谵妄转归情况。结果:两组患者心率、平均动脉压、呼吸比较,差异具有统计学意义(P<0.05),两组血氧饱和度比较,差异无统计学意义(P>0.05);D组意外伤害及谵妄转归均好于N组(P<0.05)。结论:右美托咪定能够安全有效的用于老年患者POD的护理。
Objective: To investigate the effect of dexmedetomidine in the treatment of postoperative delirium (POD) in elderly patients. Methods: Seventy-two elderly patients with POD who were admitted to our hospital from January to December 2012 were randomly divided into dexmedetomidine group (34 cases) and routine care group (n group). Group D was given dexmedetomidine, and given perioperative care; Group N was given only perioperative care, who were given restless whetp haloperidol, heart rate, mean arterial pressure, respiration, oxygen saturation Degree, accidental injury and delirium to the situation. Results: There were significant differences in heart rate, mean arterial pressure and respiration between the two groups (P <0.05). There was no significant difference in oxygen saturation between the two groups (P> 0.05) Outcomes were better than the N group (P <0.05). Conclusion: Dexmedetomidine can be used safely and effectively in the elderly patients with POD care.