A prospective, randomised double-blind study on the anaesthetic effect of dexmedetomidine hydrochloride in brainstem tumour surgery

被引:0
作者
Wu, Sheng-Xiang [1 ]
Chen, Hua-Qin [2 ]
机构
[1] First Peoples Hosp LanZhou City, Dept Neurol, 1 Wujiayuan St, Lanzhou 730050, Gansu, Peoples R China
[2] First Peoples Hosp LanZhou City, Dept Endocrinol, 1 Wujiayuan St, Lanzhou 730050, Gansu, Peoples R China
关键词
Clinical application; Dexmedetomidine hydrochloride; Brainstem tumour; Effect analysis; Anaesthesia; HEMODYNAMIC-RESPONSES; INTRAOCULAR-PRESSURE; AWAKE CRANIOTOMY; SEDATION; PROPOFOL; REMIFENTANIL; RECOVERY;
D O I
10.1186/s12957-019-1654-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
ContextBrainstem tumour surgery is difficult, and accidents can easily occur.ObjectiveTo explore the effect of dexmedetomidine hydrochloride on brainstem tumour surgery.Design, setting and participantsA total of 60 patients with brainstem tumours successfully operated on by our hospital from March 2016 to March 2018 were selected as subjects.InterventionsThese patients were randomised into two groups: the research group (n=30) and control group (n=30). Patients in the control group were given propofol together with a placebo (0.9% sodium chloride solution) to maintain anaesthesia after general anaesthesia, while patients in the research group were supplemented with dexmedetomidine hydrochloride.Main outcome measureAwakening time, overall stability of various indicators in the operation and adverse reactions during the awakening period were observed.ResultsThe results revealed that patients in the research group had a longer awakening time, higher mean stability rate, higher effective rate and less incidence of adverse reactions during the awakening period than the control group; the differences were all statistically significant (P<0.05).ConclusionDexmedetomidine hydrochloride has a good analgesic effect in intraoperative anaesthesia during brainstem tumour surgery, which significantly reduces the incidence of adverse reactions. Therefore, it can be used to assist anaesthesia during brainstem tumour operations and is worthy of clinical popularisation and application.
引用
收藏
页数:5
相关论文
共 25 条
[1]   Successful Use of Intravenous Dexmedetomidine for Magnetic Resonance Imaging Sedation in Autistic Children [J].
Ahmed, Sheikh Sohail ;
Unland, Tamara ;
Slaven, James E. ;
Nitu, Mara E. ;
Rigby, Mark R. .
SOUTHERN MEDICAL JOURNAL, 2014, 107 (09) :559-564
[2]  
Altindis NT, 2008, NEUROSCIENCES, V13, P117
[3]   Effects of intravenous administration of dexmedetomidine on intraocular pressure and pupil size in clinically normal dogs [J].
Artigas, Cristina ;
Redondo, Jose I. ;
Lopez-Murcia, Maria M. .
VETERINARY OPHTHALMOLOGY, 2012, 15 :79-82
[4]  
Bae HB, 2017, KOREAN J ANESTHESIOL, V70, P375, DOI 10.4097/kjae.2017.70.4.375
[5]   Dexmedetomidine vs propofol-remifentanil conscious sedation for awake craniotomy: a prospective randomized controlled trial [J].
Goettel, N. ;
Bharadwaj, S. ;
Venkatraghavan, L. ;
Mehta, J. ;
Bernstein, M. ;
Manninen, P. H. .
BRITISH JOURNAL OF ANAESTHESIA, 2016, 116 (06) :811-821
[6]   A comparison of sedation with dexmedetomidine or propofol during shockwave lithotripsy: A Randomized controlled trial [J].
Kaygusuz, Kenan ;
Gokce, Gokhan ;
Gursoy, Sinan ;
Ayan, Semih ;
Mimaroglu, Caner ;
Gultekin, Yener .
ANESTHESIA AND ANALGESIA, 2008, 106 (01) :114-119
[7]   The comparison of the effects of intravenous ketamine or dexmedetomidine infusion on spinal block with bupivacaine [J].
Kim, Myoung-Hun ;
Jung, Soon Yong ;
Shin, Jung Dea ;
Lee, Seoung Hun ;
Park, Min-Young ;
Lee, Kun Moo ;
Lee, Jeong Han ;
Cho, Kwangrae ;
Lee, Wonjin .
KOREAN JOURNAL OF ANESTHESIOLOGY, 2014, 67 (02) :85-89
[8]  
Kubre Jyotsna, 2016, Anesth Essays Res, V10, P273, DOI 10.4103/0259-1162.174465
[9]   Protective effects of dexmedetomidine on brain function of glioma patients undergoing craniotomy resection and its underlying mechanism [J].
Luo, Xiahong ;
Zheng, Xia ;
Huang, Hougang .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2016, 146 :105-108
[10]   Comparison between dexmedetomidine and midazolam as a sedation agent with local anesthesia in inguinal hernia repair: randomized controlled trial [J].
Mishina, T. ;
Aiba, T. ;
Hiramatsu, K. ;
Shibata, Y. ;
Yoshihara, M. ;
Aoba, T. ;
Yamaguchi, N. ;
Kato, T. .
HERNIA, 2018, 22 (03) :471-478