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The purpose of this study is to find out the effect of Dexmedetomidine for treatment of sleep deprivation, pain relief and postoperative recovery on middle-aged and elderly Patients with Gastric Cancer.
Patients were randomized to receive sufentanil 0.05ug/kh/h + dexmedetomidine 0.1ug/kg/h (DEX group) or sufentanil 0.05ug/kg/h + saline (control group) for 48h. The primary outcome was the total sleep time during the first three days after surgery. The secondary outcomes included pain score, daily sufentanil consumption, time to functional recovery, length of hospital stay and side effects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dexmedetomidine group | Experimental | sufentanil + dexmedetomidine |
|
| control group | No Intervention | sufentanil + saline |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dexmedetomidine | Drug | sufentanil 0.05ug/kh/h + dexmedetomidine 0.1ug/kg/h for 48h after surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| sleep time | total sleep time during the first three days after surgery | during the first three days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| pain score | pain score measure | during the first three days after surgery |
| daily sufentanil consumption | daily sufentanil consumption |
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Inclusion Criteria:
Elective gastric cancer operation Age ≧ 55 years ASA classification:I to III, BMI: 18-30 kg/m2 without the history of gastrointestinal surgery the normal coagulation function -
Exclusion Criteria:
the history of gastrointestinal surgery Gastrostomy and jejunostomy sleep apnea syndrome or severe osahs Severe liver and heart dysfunction Severe mental illness
-
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| D012892 | Sleep Deprivation |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D020927 | Dexmedetomidine |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| during the first three days after surgery |
| functional recovery | time to functional recovery | during the first three days after surgery |
| length of hospital stay | length of hospital stay | during the first three days after surgery |
| side effects | lethargy and mental sluggishness | during the first three days after surgery |
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |