世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
32期
5-6
,共2页
高血压%异丙酚%瑞芬太尼%麻醉效果
高血壓%異丙酚%瑞芬太尼%痳醉效果
고혈압%이병분%서분태니%마취효과
hypertension%propofol%remifentanil%anesthesia effect
目的：探讨异丙酚复合瑞芬太尼在高血压患者手术中的麻醉的效果，方法分析了2012年1月至2014年5我院行各类手术治疗的88例高血压患者的临床资料，随机分为观察组和对照组，观察组采用异丙酚复合瑞芬太尼麻醉维持，对照组给予单一异丙酚麻醉维持。比较两组各时段血压、心率变化，以及术中应用降压药用量等。结果两组手术前后收缩压、舒张压和心率比较，差异无统计学意义（P ＞0.05）。观察组术中艾司洛尔和硝酸甘油应用剂量均小于对照组，但拔管时间和苏醒质量评分长（高）于对照组，两组比较差异有统计学意义（P ＜0.05）。结论异丙酚复合瑞芬太尼在高血压患者手术中的麻醉的效果较好，在高血压患者手术麻醉中能够维持血流动力学稳定，减少术中降压药物的应用。值得推广应用。
目的：探討異丙酚複閤瑞芬太尼在高血壓患者手術中的痳醉的效果，方法分析瞭2012年1月至2014年5我院行各類手術治療的88例高血壓患者的臨床資料，隨機分為觀察組和對照組，觀察組採用異丙酚複閤瑞芬太尼痳醉維持，對照組給予單一異丙酚痳醉維持。比較兩組各時段血壓、心率變化，以及術中應用降壓藥用量等。結果兩組手術前後收縮壓、舒張壓和心率比較，差異無統計學意義（P ＞0.05）。觀察組術中艾司洛爾和硝痠甘油應用劑量均小于對照組，但拔管時間和囌醒質量評分長（高）于對照組，兩組比較差異有統計學意義（P ＜0.05）。結論異丙酚複閤瑞芬太尼在高血壓患者手術中的痳醉的效果較好，在高血壓患者手術痳醉中能夠維持血流動力學穩定，減少術中降壓藥物的應用。值得推廣應用。
목적：탐토이병분복합서분태니재고혈압환자수술중적마취적효과，방법분석료2012년1월지2014년5아원행각류수술치료적88례고혈압환자적림상자료，수궤분위관찰조화대조조，관찰조채용이병분복합서분태니마취유지，대조조급여단일이병분마취유지。비교량조각시단혈압、심솔변화，이급술중응용강압약용량등。결과량조수술전후수축압、서장압화심솔비교，차이무통계학의의（P ＞0.05）。관찰조술중애사락이화초산감유응용제량균소우대조조，단발관시간화소성질량평분장（고）우대조조，량조비교차이유통계학의의（P ＜0.05）。결론이병분복합서분태니재고혈압환자수술중적마취적효과교호，재고혈압환자수술마취중능구유지혈류동역학은정，감소술중강압약물적응용。치득추엄응용。
Objective to investigate the anesthesia effect of propofol combined with remifentanil in the surgery of hypertension patients, Methods the clinical data of 88 cases of patients with high blood pressure who were performed various kinds of surgical treatment from January 2012 to May 2012 in our hospital were analyzed. they were randomly divided into observation group and control group, the observation group patients treated with propofol compound remifentanil to maintain anesthesia, and control group given a single propofol to maintain anesthesia. the blood pressure of each period, heart rate changes and intraoperative dosage of antihypertensive drug were compared between two groups. Results In the two groups before and after the operation, the systolic pressure, diastolic pressure and heart rate showed no significant difference (P > 0.05). in observation group, the dosage of esmolol and nitroglycerin were less than that used in the control group, but the time of extubation was longer and recovery quality score was higher than that in the control group, and there was significant difference between two groups (P < 0.05). Conclusion the propofol combined with remifentanil in patients with hypertension during operation has good anesthesia effect, and can maintain the stability of hemodynamics in anesthetic operation of hypertensive patients, and can reduce the use of antihypertensive drugs in operation. it is worthy of popularization and application.
