CAJ | 학술논문

目的评价瑞芬太尼复合丙泊酚或地氟烷麻醉在电视胸腔镜手术中的临床效果.方法将40例经电视胸腔镜治疗自发性气胸的患者,随机分为瑞芬太尼复合丙泊酚静脉麻醉组(P组)和瑞芬太尼复合地氟烷静吸复合麻醉组(D组),每组各20例.对比观察两种麻醉方法术中平均动脉压(MAP)和HR的变化以及术毕停药后呼之睁眼时间、自主呼吸恢复时间、拔管时间及清醒程度(采用拔管后5 min镇静评分判断).结果 D组术中MAP明显低于术前(P＜0.05),D组摆体位后2 min健侧单肺通气(OLV)10 min及OLV 30 min的MAP低于P组,但两组比较差异无统计学意义;P组患者HR、MAP无明显变化;两组患者拔管时间、拔管后5 min镇静评分比较差异均无统计学意义.结论瑞芬太尼复合丙泊酚或瑞芬太尼复合地氟烷用于电视胸腔镜手术麻醉,术后苏醒迅速,苏醒质量优良;但在血流动力学方面,前者更加平稳.
목적 평개서분태니복합병박분혹지불완마취재전시흉강경수술중적림상효과.방법 장40례경전시흉강경치료자발성기흉적환자,수궤분위서분태니복합병박분정맥마취조(P조)화서분태니복합지불완정흡복합마취조(D조),매조각20례.대비관찰량충마취방법술중평균동맥압(MAP)화HR적변화이급술필정약후호지정안시간、자주호흡회복시간、발관시간급청성정도(채용발관후5 min진정평분판단).결과 D조술중MAP명현저우술전(P＜0.05),D조파체위후2 min건측단폐통기(OLV)10 min급OLV 30 min적MAP저우P조,단량조비교차이무통계학의의;P조환자HR、MAP무명현변화;량조환자발관시간、발관후5 min진정평분비교차이균무통계학의의.결론 서분태니복합병박분혹서분태니복합지불완용우전시흉강경수술마취,술후소성신속,소성질량우량;단재혈류동역학방면,전자경가평은.
Objective To assess the anesthesia efficacy of remifentanil-propofol or remifentanil-desflurance in patients undergoing video-assisted thoracoscopic surgery(VATS).Methods Forty ASA Ⅰ-Ⅱpatients. undergoing VATS were randomly divided into remifentanil-propofol group(group P,n=20)and remifentanil-desflurance group (group D,n=20).MAP and HR were monitered during the entire procedures. Conscious recovery, spontaneous breathing recovery, the endotracheal extubation time and OAAS score were recorded and compared between two groups. Results During the operation, MAP was decreased significantly in group D (P＜0.05).There was no significant difference in conscious recovery, spontaneous breathing recovery, the endotracheal extubation time and OAAS score between two groups. Conclusions The anesthesia efficacy of remifentanil-propofol or remifentanil-desflurance in patients undergoing VATS were both with quick recovery, but the fronter has more stable hemodynamics.