临床医学
臨床醫學
림상의학
CLINICAL MEDICINE
2014年
11期
30-31
,共2页
七氟烷%瑞芬太尼%声带息肉
七氟烷%瑞芬太尼%聲帶息肉
칠불완%서분태니%성대식육
Sevoflurane%Remifentanil%Vocal cord polyp
目的：比较七氟烷和瑞芬太尼麻醉用于声带息肉摘除手术中血压和心率的变化。方法选择ASAⅠ~Ⅱ级、择期行声带息肉摘除术患者60例，随机分为两组：七氟烷吸入麻醉组（S组）和瑞芬太尼静脉麻醉组（R组）。七氟烷组给予吸入七氟烷，浓度为4%~6%；瑞芬太尼组持续泵注瑞芬太尼20~40μg/kg，入室至麻醉苏醒期间连续观察收缩压（SBP）、舒张压（DBP）、心率（HR）、血氧饱和度（SpO2），记录停药至苏醒时间及苏醒质量，记录患者苏醒期并发症的发生数。结果在气管插管时R组HR、SBP、DBP均高于S组（P<0.05），同时R组的HR、SBP均高于基础值（P<0.05）；支撑喉镜植入后1min时R组的HR、SBP、DBP明显低于S组（P<0.05），S组的SBP、DBP明显高于基础值（P<0.05）。结论瑞芬太尼和七氟烷均可用于声带息肉摘除术中的麻醉，但是七氟烷对循环系统尤其对心率的干扰较小，可安全有效地用于该类手术的麻醉。
目的：比較七氟烷和瑞芬太尼痳醉用于聲帶息肉摘除手術中血壓和心率的變化。方法選擇ASAⅠ~Ⅱ級、擇期行聲帶息肉摘除術患者60例，隨機分為兩組：七氟烷吸入痳醉組（S組）和瑞芬太尼靜脈痳醉組（R組）。七氟烷組給予吸入七氟烷，濃度為4%~6%；瑞芬太尼組持續泵註瑞芬太尼20~40μg/kg，入室至痳醉囌醒期間連續觀察收縮壓（SBP）、舒張壓（DBP）、心率（HR）、血氧飽和度（SpO2），記錄停藥至囌醒時間及囌醒質量，記錄患者囌醒期併髮癥的髮生數。結果在氣管插管時R組HR、SBP、DBP均高于S組（P<0.05），同時R組的HR、SBP均高于基礎值（P<0.05）；支撐喉鏡植入後1min時R組的HR、SBP、DBP明顯低于S組（P<0.05），S組的SBP、DBP明顯高于基礎值（P<0.05）。結論瑞芬太尼和七氟烷均可用于聲帶息肉摘除術中的痳醉，但是七氟烷對循環繫統尤其對心率的榦擾較小，可安全有效地用于該類手術的痳醉。
목적：비교칠불완화서분태니마취용우성대식육적제수술중혈압화심솔적변화。방법선택ASAⅠ~Ⅱ급、택기행성대식육적제술환자60례，수궤분위량조：칠불완흡입마취조（S조）화서분태니정맥마취조（R조）。칠불완조급여흡입칠불완，농도위4%~6%；서분태니조지속빙주서분태니20~40μg/kg，입실지마취소성기간련속관찰수축압（SBP）、서장압（DBP）、심솔（HR）、혈양포화도（SpO2），기록정약지소성시간급소성질량，기록환자소성기병발증적발생수。결과재기관삽관시R조HR、SBP、DBP균고우S조（P<0.05），동시R조적HR、SBP균고우기출치（P<0.05）；지탱후경식입후1min시R조적HR、SBP、DBP명현저우S조（P<0.05），S조적SBP、DBP명현고우기출치（P<0.05）。결론서분태니화칠불완균가용우성대식육적제술중적마취，단시칠불완대순배계통우기대심솔적간우교소，가안전유효지용우해류수술적마취。
Objective To compare the effects of sevoflurane and remifentanil anesthesia on blood pressure and heart rate in vocal cord polyp operation. Methods Sixty patients(ASAⅠ - Ⅱ)scheduled for polyp of vocal cord removal were randomly di-vided into two groups. Group S were given anaesthetic maintenance with 4% - 6% ,while group R were given anaesthetic mainte-nance with continuous infusion of remifentanil(20 - 40)μg/ kg instead. The changes of SBP,DBP,HR,SpO2 from entering op-eration room were observed. The time from drug withdrawal to palinesthesia,the quality of palinesthesia and the complication in the recovery period were recorded. Results The levels of HR,SBP,DBP were significant higher in group R than those in group S while tracheal intubation(P < 0. 05);At the same time,the levels of HR,SBP in group R were higher than those in base value (P < 0. 05). HR,SBP,DBP were significantly lower while insertion laryngoscope in group R than those in group S(P < 0. 05). SBP,DBP in group S were significantly higher than those in basal value(P < 0. 05). Conclusion Remifentanil and sevoflurane can be used for anesthesia in vocal cord polyp,but the sevoflurane has little interference on circulatory system,especially on heart rate,it can be used safely and effectively in the anesthesia of vocal cord polyp.
