CAJ | 학술논문

目的：观察小剂量瑞芬太尼静脉预先注射能否减轻依托咪酯脂肪乳注射引起的肌震颤。方法将门诊80例做胃肠镜患者分为瑞芬太尼0.2μg/ kg 组、0.4μg/ kg 组、0.6μg/ kg 组和生理盐水组，然后注射诱导用量的依托咪酯0.2 mg/ kg。结果瑞芬太尼0.4μg/ kg 组可降低依托咪酯脂肪乳肌震颤的发生，并对血压、心率及呼吸影响小。结论静脉预先注射瑞芬太尼可降低依托咪酯脂肪乳引起的肌震颤。
목적：관찰소제량서분태니정맥예선주사능부감경의탁미지지방유주사인기적기진전。방법장문진80례주위장경환자분위서분태니0.2μg/ kg 조、0.4μg/ kg 조、0.6μg/ kg 조화생리염수조，연후주사유도용량적의탁미지0.2 mg/ kg。결과서분태니0.4μg/ kg 조가강저의탁미지지방유기진전적발생，병대혈압、심솔급호흡영향소。결론정맥예선주사서분태니가강저의탁미지지방유인기적기진전。
Objective To observe whether Pre - injection of small dose of remifentanil can alleviate amyostasia caused by etomidate. Methods 80 Patients undergoing gastrointestinal endoscoPy were divided into 0. 2 μg/ kg remifentanil grouP,0. 4 μg/ kg remifentanil grouP,0. 6 μg/ kg remifentanil grouP and normal saline grouP. Then 0. 2 mg/ kg etomidate was injected. Results 0. 4 μg/ kg remifentanil could alleviate amyostasia caused by etomidate. It had the least effect on blood Pressure,heart rate and breathe. Conclusion Pre - injection of remifentanil can alleviate amyostasia caused by etomidate.