Right beauty holds the mi organism and propofol for elderly patients with hip fracture surgery ICU sedation effect of comparative study

Objective To compare the microphones organism and propofol in elderly patients with hip fracture surgery ICU clinical effect and safety of sedation. Methods To collect 5 hospitals in Harbin in January 2014- August 2014, 72 cases of senile spinal postoperative ICU patients, randomly divided into the propofol group (group A: 36 cases) and right beautiful mi organism group (group B: 36 cases). Group A: first of all, intravenous 1 mg/kg propofol sedation induction, according to different degree of sedation maintain propofol dosage is 0.5 to 0.5 mg·kg-1·h-1.Group B: give the right pyrimidine load 1 mg·kg-1·h-1 via intravenous 20 min, according to different degree of sedation sustained by intravenous pump right beauty holds 0.3 0.7 mu pyrimidine g·kg-1·h-1.Compare two groups of patients sedation depth, ICU stay time, heart rate, blood pressure, breathing rate, increase analgesic drugs. Results Within the scope of the dose, propofol and the right supporting pyrimidine required calming effect similar to provide treatment (RamSay score > 3); Calm during the treatment, the right beauty pyrimidine group to the number of additional analgesics is less than the propofol group; Compared with propofol group, the right beauty pyrimidine a significant reduction in patients with ICU stay time.The incidence of adverse reactions in patients with similar between the two groups has no statistical significance (P>0.05). Conclusion In certain dose range of ICU in elderly hip fracture patients with postoperative propofol and right the pyrimidine sedation is safe and effective. Key words: Anesthesia analgesia; Hip fractures; Custodial care; Dexmedetomidine; Propofol