CAJ | 학술논문

目的探讨应用全凭静脉复合全麻完成支撑喉镜下声带小结摘除术后,两组患者的复苏清醒效果的对比.方法 66例声带小结患者随机分成A、B两组,每组33例,A组选用全麻药物为芬太尼、丙泊酚、咪达唑仑做全麻诱导;B组选用全麻药物为芬太尼、丙泊酚、利多卡因做全麻诱导,肌松药物均使用阿曲库铵.插管后静脉维持药物均使用丙泊酚、芬太尼微泵注射,手术结束时停药.结果两组麻醉效果相同,B组患者清醒时间比A组快,清醒彻底,无嗜睡现象,术后拔管时间快.结论在支撑喉镜下声带小结摘除术中使用咪达唑仑会影响术后患者清醒时间,有嗜睡现象,加用多沙普伦可改善这一现象,加快患者清醒速度.
목적 탐토응용전빙정맥복합전마완성지탱후경하성대소결적제술후,량조환자적복소청성효과적대비.방법 66례성대소결환자수궤분성A、B량조,매조33례,A조선용전마약물위분태니、병박분、미체서륜주전마유도;B조선용전마약물위분태니、병박분、리다잡인주전마유도,기송약물균사용아곡고안.삽관후정맥유지약물균사용병박분、분태니미빙주사,수술결속시정약.결과 량조마취효과상동,B조환자청성시간비A조쾌,청성철저,무기수현상,술후발관시간쾌.결론 재지탱후경하성대소결적제술중사용미체서륜회영향술후환자청성시간,유기수현상,가용다사보륜가개선저일현상,가쾌환자청성속도.
Objective To probe into the revival effect contrast between two groups patients who was extirpated vocal cords nubble under support laryngoscope.Methods Sixty-six patients with vocal cords nubble were randomly divided into A and B group,33 patients in each group. A group was used full anaesthesia inducement in fentanly,propofol,midazolam;B group used full anaesthesia inducement in fentanly,propofol,lidocaine, the drug of muscle flab was attacurium in the two groups. The minim pump drug of vein maintain was propofol,fentanly,the drug was stopped after operation.Results The anaesthesia effect was same in the two groups.Compared with B group, the revival time and the time of pulling out tube were faster in A group. Conclusion The operation of extirpated vocal cords nubble under support laryngoscope which use midazolam can influence the revival time of the patients,the use of doxapram can accelerate the revival rapidity of patients.