中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
10期
433-434
,共2页
曾隆平%陈继恩%陈沛华%李波泉
曾隆平%陳繼恩%陳沛華%李波泉
증륭평%진계은%진패화%리파천
依托咪酯%全麻诱导%临床疗效
依託咪酯%全痳誘導%臨床療效
의탁미지%전마유도%림상료효
Etomidate%The induction of general anesthesia%Clinical efficacy
目的比较进口、国产两种依托咪酯乳剂在全麻诱导时对血流动力学及麻醉深度的影响.方法选择择期手术患者40例,交替随机分为两组:Ⅰ组为进口依托咪酯组(n=20),Ⅱ组为国产依托咪酯组(n=20).用依托咪酯0.3mg/kg全麻诱导,监测HR、平均动脉压(MBP)和脑电双频指数(BIS),同时观测睫毛反射,记录诱导前及诱导后患者的HR、MBP、BIS最低值以及达到BIS最低值的时间及自然闭眼时间、眼睑反射消失时间.结果两组依托咪酯在全麻诱导时对患者血流动力学和麻醉深度的影响无明显区别.结论进口和国产依托咪酯在全麻诱导中具有等相同药效;对血液动力学的影响无显著差别.
目的比較進口、國產兩種依託咪酯乳劑在全痳誘導時對血流動力學及痳醉深度的影響.方法選擇擇期手術患者40例,交替隨機分為兩組:Ⅰ組為進口依託咪酯組(n=20),Ⅱ組為國產依託咪酯組(n=20).用依託咪酯0.3mg/kg全痳誘導,鑑測HR、平均動脈壓(MBP)和腦電雙頻指數(BIS),同時觀測睫毛反射,記錄誘導前及誘導後患者的HR、MBP、BIS最低值以及達到BIS最低值的時間及自然閉眼時間、眼瞼反射消失時間.結果兩組依託咪酯在全痳誘導時對患者血流動力學和痳醉深度的影響無明顯區彆.結論進口和國產依託咪酯在全痳誘導中具有等相同藥效;對血液動力學的影響無顯著差彆.
목적비교진구、국산량충의탁미지유제재전마유도시대혈류동역학급마취심도적영향.방법선택택기수술환자40례,교체수궤분위량조:Ⅰ조위진구의탁미지조(n=20),Ⅱ조위국산의탁미지조(n=20).용의탁미지0.3mg/kg전마유도,감측HR、평균동맥압(MBP)화뇌전쌍빈지수(BIS),동시관측첩모반사,기록유도전급유도후환자적HR、MBP、BIS최저치이급체도BIS최저치적시간급자연폐안시간、안검반사소실시간.결과량조의탁미지재전마유도시대환자혈류동역학화마취심도적영향무명현구별.결론진구화국산의탁미지재전마유도중구유등상동약효;대혈액동역학적영향무현저차별.
Objective Comparison of import, domestic two kinds of etomidate emulsion during general anesthesia induction on hemodynamics and the effect of anesthetic depth. Methods Selective operation patients in 40 cases, alternately were randomly divided into two groups:groupⅠfor the import of etomidate group (n=20), groupⅡ(n=20) for domestic etomidate group. 0.3mg. kg-1 during induction of anesthesia with etomidate, monitoring of HR, mean arterial pressure (MBP) and bispectral index (BIS), at the same time observation of eyelash reflex, recorded before induction and after induction with HR, MBP, BIS minimum value and reached the lowest value of BIS time and natural closed time, eyelid reflex time. Results There was no significant difference between these two kinds of etomidate about their effects on hemodynamics and depth of anesthesia during induction of general anesthesia. Conclusion Import and domestic etomidate in induction of anesthesia with the same effect;hemodynamic effect of no significant difference.