Impact of different doses of dexmedetomidine on the anesthetic sedative and analgesic effect of anesthesia agents in hysterectomy of patients with uterine fibroids under laparoscopy

Objective To explore the impact of different doses of dexmedetomidine on the anesthetic sedative and analgesic effect of anesthesia agents in hysterectomy of patients with uterine fibroids under laparoscopy. Methods 90 patients with uterine fibroids with ASA class Ⅰ or Ⅱ who were going to undergoing general intravenous anesthesia laparoscopic hysterectomy were selected and they were divided into group A (dexmedetomidine 0.4μg·kg-1·h-1, n=30) and group B (dexmedetomidine 0.2μg·kg-1·h-1, n=30) and group C (no dexmedetomidine, n=30) by digital random method.The analgesia effect (VAS score) of group A, group B and group C preoperation and postoperative 1h, 12h and 24h, and the sedation (Ramsay sedation score) were compared.General information, postoperative blood pressure, heart rate, pulse oxygen saturation, postoperative patients' satisfaction on analgesic effect and the sedation effect and adverse reactions of the three groups were also compared. Results Age, body mass index and other basic information of three groups had no statistically significant differences (all P>0.05). The preoperative VAS score of the three groups also had no statistically significant difference (F=0.625, P>0.05). Postoperative 12h, 24h, the VAS scores of group A and group B were lower than those of C group, which of group A were lower than group B (F=11.250, P 0.05), pulse oxygen saturation (F=0.978, P>0.05) and heart rate among the three groups before and after operation (F=1.268, P>0.05). There was no obvious adverse reaction in the three groups. Conclusion Dexmedetomidine can promote anesthetic sedative and analgesic effect of anesthesia agents in hysterectomy of patients with uterine fibroids under laparoscopy, and the dose 0.4μg·kg-1·h-1 of dexmedetomidine has better effect, feasibility and safety, it is worthy of clinical promotion. Key words: Dexmedetomidine; Uterine fibroids; Laparoscopy; Hysterectomy; Analgesia