中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
7期
45-45,47
,共2页
静脉麻醉%舒芬太尼%丙泊酚%胸科手术
靜脈痳醉%舒芬太尼%丙泊酚%胸科手術
정맥마취%서분태니%병박분%흉과수술
Intravenous anesthesia%Sufentanil%Propofol%Thoracicoperation
目的：通过临床观察探讨舒芬太尼复合丙泊酚全凭静脉麻醉在胸科手术中的效果。方法选取2012年7月至9月我院所收治的进行普通胸科手术的患者60例，随机分为实验组和对照组，每组30例。对对照组患者使用传统的静脉复合全麻，而实验组则用舒芬太尼复合丙泊酚全凭静脉麻醉。比较观察两组患者在采用不同的方法麻醉后的临床效果。结果经过不同方法的麻醉，实验组的麻醉诱导前与气管插管前比对照组的麻醉诱导前与气管插管前的SBP、HR明显降低；对照组的气管插管后和气管拔出前比实验组的气管插管后和气管拔出前的SBP的明显增高；对照组的胸腔探查、气管拔出前、后比实验组的HR明显增快，统计学上均有意义（P<0.05）。结论普通胸科手术中运用全凭舒芬太尼复合丙泊酚全凭静脉麻醉的效果明显优于传统的静脉复合全麻，可在临床广泛应用。
目的：通過臨床觀察探討舒芬太尼複閤丙泊酚全憑靜脈痳醉在胸科手術中的效果。方法選取2012年7月至9月我院所收治的進行普通胸科手術的患者60例，隨機分為實驗組和對照組，每組30例。對對照組患者使用傳統的靜脈複閤全痳，而實驗組則用舒芬太尼複閤丙泊酚全憑靜脈痳醉。比較觀察兩組患者在採用不同的方法痳醉後的臨床效果。結果經過不同方法的痳醉，實驗組的痳醉誘導前與氣管插管前比對照組的痳醉誘導前與氣管插管前的SBP、HR明顯降低；對照組的氣管插管後和氣管拔齣前比實驗組的氣管插管後和氣管拔齣前的SBP的明顯增高；對照組的胸腔探查、氣管拔齣前、後比實驗組的HR明顯增快，統計學上均有意義（P<0.05）。結論普通胸科手術中運用全憑舒芬太尼複閤丙泊酚全憑靜脈痳醉的效果明顯優于傳統的靜脈複閤全痳，可在臨床廣汎應用。
목적：통과림상관찰탐토서분태니복합병박분전빙정맥마취재흉과수술중적효과。방법선취2012년7월지9월아원소수치적진행보통흉과수술적환자60례，수궤분위실험조화대조조，매조30례。대대조조환자사용전통적정맥복합전마，이실험조칙용서분태니복합병박분전빙정맥마취。비교관찰량조환자재채용불동적방법마취후적림상효과。결과경과불동방법적마취，실험조적마취유도전여기관삽관전비대조조적마취유도전여기관삽관전적SBP、HR명현강저；대조조적기관삽관후화기관발출전비실험조적기관삽관후화기관발출전적SBP적명현증고；대조조적흉강탐사、기관발출전、후비실험조적HR명현증쾌，통계학상균유의의（P<0.05）。결론보통흉과수술중운용전빙서분태니복합병박분전빙정맥마취적효과명현우우전통적정맥복합전마，가재림상엄범응용。
Objective Through clinical observation and analysis, to observe and analyze the effects of Sufentanil combined with propofol for total intravenous anesthesia in thoracicoperation. Methods From July 2012 to September 2012, 60 cases of the patients needing thoracicoperation in our hospital were chosen and were randomly divided into the experiment group and the control group, and each group had 30 patients. The control group was given traditional intravenous anesthesia, while the experiment group was given sufentanil combined with propofol for total intravenous anesthesia. The clinical effects of the two groups after different anesthesiawere methods were observed and compared. Results After different anesthesiawere methods, SBP, HR of the experiment group before induction of anesthesia and tracheal intubation were signiifcantly lower than the control group; SBP of the control group after tracheal intubation and before the trachea pulling out were signiifcantly higher than the experiment group; the control group in thoracic exploration, before and after the pipe out, were signiifcantly faster than the experiment group. It has statistical signiifcance(P<0.05). Conclusions The effects of sufentanil combined with propofol for total intravenous anesthesia in thoracicoperation were signiifcantly better traditional intravenous anesthesia, which can be widely used in clinical.
