【摘 要】目的：探讨右美托咪定不同给药方式在妇科腹腔镜手术中的麻醉效果。方法：选择2017年8月至2018年8月于我院进行妇科腹腔镜手术的患者128例为研究对象，按照麻醉给药方式的差异分为持续组及单次组。麻醉药物均使用右美托咪定，持续组采用持续静脉泵注给药，单次组采用单次静脉推注给药，比较两组患者的心率、平均动脉压及不良反应发生情况。结果：气腹建立40分钟后，两组的心率及平均动脉压差异明显，单次组更优，且单次组不良反应发生率低于持续组，差异均具有统计学意义(P<0.05)。结论：与持续静脉泵注方式相比，单次静脉注射给药方式在气腹建立后可使患者心率及平均动脉压更加平稳，且不良反应发生率较低，麻醉效果更好。

    【关键词】右美托咪定;妇科;腹腔镜手术;麻醉效果

    Abstract：Objective To investigate the anesthetic effect of different administration method of Dexmedetomidine in gynecological laparoscopic surgery. Methods A total of 128 cases of patients who underwent gynecological laparoscopic surgery in our hospital from August 2017 to August 2018 were selected as research objects. and the objects were divided into continuous group and single group according to the difference in anesthesia delivery mode. Dexmedetomidine was used as the anesthetic drug ......