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《Neural Injury and Functional Reconstruction》 2014-06
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Dexmedetomidine Anaesthesia for Stereotactic Hematoma Aspiration in Treating Cerebral Hemorrhage

KUAI Jian-ke;YU Dai-hua;GAO Chang-jun;WANG Bin-rong;SUN Xu-de;Department of Anesthesiology, Tangdu Hospital of The Fourth Military Medicine Hospital;  
Objective: To investigate the effect of dexmedetomidine anaesthesia on stereoscopic hematoma aspiration in treating cerebral hemorrhage. Methods: Sixty-nine patients with hypertensive cerebral hemorrhage were randomly divided into the observation group of 34 cases and the control group with 35 cases. All the patients were initially injected with 1 μg/kg of Fentanyl before preoperative anesthesia. The control group was treated with routine anesthesia methods. The observation group was anaesthetized with dexmedetomidine. The mean arterial blood pressure(MAP), PaO2, PaCO2 in the patients in operating room(T1), propofol and dexmedetomidine(T2), after placement of head frame(T3), after drilling(T4), were recorded. The adverse reactions of the two groups were compared. Results: In the observation group, the heart rate in the T3 and T4time group was significantly decreased compared with the control group whereas the PaO2 in the T3 and T4 time group was significantly increased compared with the control group(P0.05). Compared with the control group, the MAP, PaCO2 in T4 time of the observation group showed significant changes(P0.05). The hypotension, tachycardia, impetuous people, postoperative vomiting numbers in the observation group changed significantly compared with the control group(P0.05). Conclusion:Compared with propofol, dexmedetomidine showed a better effect on anesthesia for the treatment of cerebral hemorrhageusing stereotactically minimal invasive suction of intracranial hematomas. The patients showed more stable MAP, heart rate, PaO2 wave, and less respiratory depression.
【CateGory Index】: R614
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 LI Min1,ZHANG Li-ping1, WU Xin-min2 (1.Department of Anesthesiology, Peking University Third Hospital, Beijing 100083 ,China; 2. Department of Anesthesiology, Peking University First Hospital, Beijing 100034 ,China );Advance in search for clinical use of dexmedetomidine in anesthesiology[J];The Chinese Journal of Clinical Pharmacology;2007-06
2 BAI Xiao-man,LIANG Feng,LI Long-yun,et al.(Department of Anesthesiology,China-Japan Union Hospital,Ji Lin University,Changchun 130033,China);The influence of dexmedetomidine hydrochloride on hemodynamics and cerebral oxygen metabolism of the patients with intracranial aneurysm clipping[J];Chinese Journal of Laboratory Diagnosis;2013-07
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 LI Xin-bai1,LIU Huan-qiu1,MENG Xian-ying2,YUAN Tong1,HAN Wei1,TONG Ti3,MA Hai-chun1(1.Department of Anesthesiology,First Hospital,Jilin University,Changchun 130021,China;2.Dpeartment of Thyroid Surgery,First Hospital,Jilin University,Changchun 130021,China;3.Department of Thoracic Surgery,Second Hospital,Jilin University,Changchun 130041,China);Application of dexmedetomidine combined with fibreoptic bronchoscope for tracheal intubation in difficult airways caused by huge goiter[J];Journal of Jilin University(Medicine Edition);2012-02
2 Jiang Tian,Huang Hongfang (Department of Anesthesiology,Affiliated Hospital of Nantong University,Nantong,Jiangsu 226000,China);Application of dexmedetomidine combined anesthesia with brachial plexus block on finger replantation surgery in 30 cases[J];Chongqing Medicine;2012-13
3 ;右美托咪定复合芬太尼对儿童心脏手术血压及心率的影响[J];Contemporary Medicine;2011-32
4 Lu Jing,Xiong Gui-lin (Department of Anesthesiology,the Jingzhou Second People's Hospitol,Hubei 434000 );Effect of Dexmedetomidine on Recovery of Anaesthesia for Neurosurgery Patients[J];Chinese Journal of Medicinal Guide;2011-12
5 LI Chuan-xiang,LI He Department of Anesthesiology,Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,China;Determination of the 50% effective concentration of dexmedetomidine as an adjuvant in combined spinal-epidural anesthesia with Narcotrend[J];Journal of Southern Medical University;2011-04
6 LI Zhi-qiang(Department of Anesthesiology,Affiliated Jiangyin Hospital,School of Medicine,Southeast University,Jiangyin 214400,China);Effects of Medetomidine on Hemodynamics in Elderly Patients with High Blood Pressure after General Anesthesia Perioperative Period[J];Journal of Hubei University for Nationalities(Medical Edition);2010-03
7 LI Zhuan Department of Anesthesiology,Xing'an County People's Hospital,Xing'an 541300,China;Effect of dexmedetomidineand propofol sedation for epidural anesthesia in patients with gynecological surgery[J];China Medicine and Pharmacy;2012-23
8 XU Shang-jun, HONG Fang-xiao, ZHOU Guo-qing, et al (Department of Anesthesiology, Beijing Pinggu Hospital, Capital Medical University, Beijing 101200);The optimal dosage of dexmedetomidine in awake tracheal intubation[J];Beijing Medical Journal;2013-01
9 JI Hui,YOU Xin-min,CHEN Zhi-jun,Zhang Dan-liu(Department of Anesthesiology,Xinhua Hospital Chongming Branch,Shanghai Jiaotong University School of Medicine,Shanghai 202150,China);Effects of different dose dexmedetomidine on hemodynamics in the elderly patients[J];World Clinical Drugs;2013-05
10 He Zhuowen,Tian Feng,Zhang Kunquan,Feng Xiufen(Department of Anesthesiology,Zhaoqing First People′s Hospital,Zhaoqing,Guangdong526020,China);Painless fiberoptic bronchoscopy under anaesthesia with dexmedetomidine combined with fentanyl in elderly patients with pulmonary dysfunction[J];Chongqing Medicine;2013-17
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Guo Fuqiang, Yang Yousong, Song Wenzhong, et al.Department of Neurology,Sichuan Provincial People's Hospital, Chengdu 610072;The effect of nimodipine on regional cerebral blood flow,brain edema and clinical change of dosage at the different time after cerebral hemorrhage[J];Journal of Clinical Neurology;2001-01
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