CAJ | 학술논문

目的观察病人恒速输注瑞芬太尼、丙泊酚全麻后苏醒期的表现.方法择期行全身麻醉的手术病人68例,ASA Ⅰ～Ⅱ级,随机分为两组,每组34人.A组麻醉方法为恒速输注瑞芬太尼、丙泊酚,持续吸入低浓度异氟醚.B组恒速输注咪唑安定,间断推注芬太尼,持续吸入低浓度异氟醚全麻.观察病人麻醉苏醒时间、拔管时间、苏醒期的精神状态、生命体征变化以及气道反应.结果 A组病人苏醒时间与拔管时间小于B组(P<0.05);苏醒期病人的安静程度A组优于B组(P<0.05);吸痰时病人的咳嗽反应A组明显低于B组(P<0.01);拔管前后两组生命体征的变化无明显差异(P>0.05).结论恒速输注瑞芬太尼、丙泊酚全麻病人在苏醒期具有苏醒快速、平稳,气道反应小,病人舒适度高的特点.
목적 관찰병인항속수주서분태니、병박분전마후소성기적표현.방법 택기행전신마취적수술병인68례,ASA Ⅰ～Ⅱ급,수궤분위량조,매조34인.A조마취방법 위항속수주서분태니、병박분,지속흡입저농도이불미.B조항속수주미서안정,간단추주분태니,지속흡입저농도이불미전마.관찰병인마취소성시간、발관시간、소성기적정신상태、생명체정변화이급기도반응.결과 A조병인소성시간여발관시간소우B조(P<0.05);소성기병인적안정정도A조우우B조(P<0.05);흡담시병인적해수반응A조명현저우B조(P<0.01);발관전후량조생명체정적변화무명현차이(P>0.05).결론 항속수주서분태니、병박분전마병인재소성기구유소성쾌속、평은,기도반응소,병인서괄도고적특점.
Objective To observate of patients anesthetized with remifenlanil and propofol during the awakening period.Methods 68 patiens were randomly divided into two groups.Group A(n=34):the patients were anesthetized with remifentanil and propofol constantly, combined with low concentration isoflurane.Group B(n=34): the patients were anesthetized with midazolam constantly, combined with low concentration isoflurane, fentanyl was added at intervals.The awakening time, extubation time, spirit status, the change of vital signs and cough reaction were recorded.Results The awakening time and extubation time of patients in Group A were shorter than that of patients in Group B(P<0.05).The sedation level of patients in Group A was better than that of patients in Group B(P<0.05). Cough reaction of patiens in Gorup A was much better than that of patients in Group B(P<0.01). There were no significant differences in vital signs before and after extuhation among two groups(P> 0.05).Conclu-sion Remifentanil and propofol infused constantly had the advantages of quick and smooth conscious recovery, slight gas tract reaction.The patients were more comfortable.