CAJ | 학술논문

目的评价瑞芬太尼复合异丙酚麻醉在胸腔镜手术中的麻醉效果.方法选择在胸腔镜下行肺大泡结扎手术患者40例,ASA Ⅰ～Ⅱ级,随机分为瑞芬太尼复合异丙酚组(A组)和芬太尼复合异丙酚(B组),每组20例.观察麻醉诱导前(T0)、气管插管前(T1)、气管插管即刻(T2)、气管插管后5min(T3)的BP、HR;记录术毕停药后患者自主呼吸恢复时间、呼之睁眼时间及拔管时间;记录拔管后即刻、30 min疼痛视觉模拟评分(VAS);随访记录术中知晓发生率和术后恶心、呕吐等不良反应.结果 A组插管期心血管不良反应显著低于B组(P<0.05),A组术后自主呼吸恢复时间、呼之睁眼时间及拔管时间明显短于B组(P<0.05).两组患者均未出现术中知晓、术后恶心呕吐.结论瑞芬太尼复合异丙酚麻醉明显优于芬太尼复合异丙酚.
목적 평개서분태니복합이병분마취재흉강경수술중적마취효과.방법 선택재흉강경하행폐대포결찰수술환자40례,ASA Ⅰ～Ⅱ급,수궤분위서분태니복합이병분조(A조)화분태니복합이병분(B조),매조20례.관찰마취유도전(T0)、기관삽관전(T1)、기관삽관즉각(T2)、기관삽관후5min(T3)적BP、HR;기록술필정약후환자자주호흡회복시간、호지정안시간급발관시간;기록발관후즉각、30 min동통시각모의평분(VAS);수방기록술중지효발생솔화술후악심、구토등불량반응.결과 A조삽관기심혈관불량반응현저저우B조(P<0.05),A조술후자주호흡회복시간、호지정안시간급발관시간명현단우B조(P<0.05).량조환자균미출현술중지효、술후악심구토.결론 서분태니복합이병분마취명현우우분태니복합이병분.
Objective To evaluate the effects of reminfentanil combined with propofl on patients received video assisted thoracoscopic surgery. Methods 40 ASA Ⅰ～Ⅱ patients underwent video assisted thoracoscopic surgery were randomly divided into two groups. BP、HR before anesthesia induction(T0) ,tracheal induction(T1) ,tracheal induction instantly (T2), after five minutes of tracheal induction(T3) were observed; The time of breathing recovery withdrawl,and open eye,extubation and instantly of extubation,VAS;to record in the operation and adverse effect of postoperative nausea were analyzed. Results During tracheal induction, hemodynamic and respiratory variables of groupR less then group F(P ＜ 0. 05), after operation group R time of breathing recovery withdrawl, and open eye, extubation is short of group F(P ＜ 0. 05). Two groups was not appear to know in operation, postoperative nausea is not satistically significant. Conclusion General anesthesia by reminfentanil combined with Propofol on video assisted thoracscopic surgery was safe and feasible.