CAJ | 학술논문

目的研究全麻诱导时不同给药顺序对血流动力学的影响.方法选择105例ASA评级Ⅰ～Ⅱ级患者,按丙泊酚、芬太尼、阿曲库胺按不同给药顺序的六组,另加丙泊酚-芬太尼-阿曲库胺-丙泊酚一组随机分成七组,分组给药,在不改变其他条件下观察麻醉诱导时心率、平均动脉压.结果丙泊酚-阿曲库胺-芬太尼-丙泊酚给药顺序血流动力学最为稳定;芬太尼-丙泊酚-阿曲库胺给药顺序次之;丙泊酚-芬太尼-阿曲库胺给药顺序血流动力学最差.结论麻醉诱导时不同的给药顺序对血流动力学的影响有一定的差异.
목적 연구전마유도시불동급약순서대혈류동역학적영향.방법 선택105례ASA평급Ⅰ～Ⅱ급환자,안병박분、분태니、아곡고알안불동급약순서적륙조,령가병박분-분태니-아곡고알-병박분일조수궤분성칠조,분조급약,재불개변기타조건하관찰마취유도시심솔、평균동맥압.결과 병박분-아곡고알-분태니-병박분급약순서혈류동역학최위은정;분태니-병박분-아곡고알급약순서차지;병박분-분태니-아곡고알급약순서혈류동역학최차.결론 마취유도시불동적급약순서대혈류동역학적영향유일정적차이.
Objective To investigate Hemodynamic diverse stabilities produced by different in-jection anesthetic sequences on hemodynamic during general anesthesia induction. Methods One hun-dred and five patients, ASA physical status Ⅰ or Ⅱ, were assigned randomly to seven groups (15 cases each group) by seven different injection anesthetic sequences ,which were six groups with different orders of Propofol, Fentanyl and Atracurium, plus the Propofol - Fentanyl - Atracuriu - Propofol group. Then pa-tients' heart rates and mean arterial pressures were tested by group. Results The Propofol - Fentanyl -Atracuriu -Propofol group show the most stable Hemodynamic index and the Propofol- Fentanyl - At-racurium group show the most unstable Hemodynamic index. Conclusions There is a sure influnce on hemodynamic by different injection anesthetic sequences during general anesthesia induction.