蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
5期
619-621
,共3页
麻醉,静脉内%舒芬太尼%丙泊酚%胸科手术
痳醉,靜脈內%舒芬太尼%丙泊酚%胸科手術
마취,정맥내%서분태니%병박분%흉과수술
anesthesia,intravenous%sufentanil%propofol%chest surgery
目的：：探讨舒芬太尼联合丙泊酚全凭静脉麻醉用于胸科手术的麻醉效果。方法：选取行胸科手术患者60例,按照随机数字法分为观察组和对照组各30例。对照组给予传统的静吸复合全身麻醉；观察组给予舒芬太尼0.5~1.5μg·kg-1·h-1联合丙泊酚3~5 mg·kg-1·h-1静脉持续泵注,肌松维持均为阿曲库铵0.6μg·kg-1·min-1静脉泵注；对比2组患者的麻醉效果及不良反应。结果：2组T1心率均较T0明显下降(P<0.01),且对照组的T2~T5的心率均显著高于观察组(P<0.01)；对照组T1较T0的收缩压(SBP)值明显下降,观察组T3较T0的SBP值亦显著下降(P<0.01),对照组T2~T5的SBP值均明显高于观察组(P<0.01)；2组T4 SpO2均较T0明显升高(P<0.01),对照组T3 SpO2值显著高于观察组(P<0.01)。对照组拔管时间为(18.3±7.8)min,明显长于观察组的(12.8±6.9)min(P<0.01)；术后对照组总不良反应率30.0%,高于观察组的6.7%(P<0.05)。观察组苏醒期配合率为93.3%,高于对照组的80.0%(P<0.05)。结论：舒芬太尼联合丙泊酚全凭静脉麻醉用于胸科手术麻醉效果好,术后清醒快且不良反应发生率低,值得临床推广使用。
目的：：探討舒芬太尼聯閤丙泊酚全憑靜脈痳醉用于胸科手術的痳醉效果。方法：選取行胸科手術患者60例,按照隨機數字法分為觀察組和對照組各30例。對照組給予傳統的靜吸複閤全身痳醉；觀察組給予舒芬太尼0.5~1.5μg·kg-1·h-1聯閤丙泊酚3~5 mg·kg-1·h-1靜脈持續泵註,肌鬆維持均為阿麯庫銨0.6μg·kg-1·min-1靜脈泵註；對比2組患者的痳醉效果及不良反應。結果：2組T1心率均較T0明顯下降(P<0.01),且對照組的T2~T5的心率均顯著高于觀察組(P<0.01)；對照組T1較T0的收縮壓(SBP)值明顯下降,觀察組T3較T0的SBP值亦顯著下降(P<0.01),對照組T2~T5的SBP值均明顯高于觀察組(P<0.01)；2組T4 SpO2均較T0明顯升高(P<0.01),對照組T3 SpO2值顯著高于觀察組(P<0.01)。對照組拔管時間為(18.3±7.8)min,明顯長于觀察組的(12.8±6.9)min(P<0.01)；術後對照組總不良反應率30.0%,高于觀察組的6.7%(P<0.05)。觀察組囌醒期配閤率為93.3%,高于對照組的80.0%(P<0.05)。結論：舒芬太尼聯閤丙泊酚全憑靜脈痳醉用于胸科手術痳醉效果好,術後清醒快且不良反應髮生率低,值得臨床推廣使用。
목적：：탐토서분태니연합병박분전빙정맥마취용우흉과수술적마취효과。방법：선취행흉과수술환자60례,안조수궤수자법분위관찰조화대조조각30례。대조조급여전통적정흡복합전신마취；관찰조급여서분태니0.5~1.5μg·kg-1·h-1연합병박분3~5 mg·kg-1·h-1정맥지속빙주,기송유지균위아곡고안0.6μg·kg-1·min-1정맥빙주；대비2조환자적마취효과급불량반응。결과：2조T1심솔균교T0명현하강(P<0.01),차대조조적T2~T5적심솔균현저고우관찰조(P<0.01)；대조조T1교T0적수축압(SBP)치명현하강,관찰조T3교T0적SBP치역현저하강(P<0.01),대조조T2~T5적SBP치균명현고우관찰조(P<0.01)；2조T4 SpO2균교T0명현승고(P<0.01),대조조T3 SpO2치현저고우관찰조(P<0.01)。대조조발관시간위(18.3±7.8)min,명현장우관찰조적(12.8±6.9)min(P<0.01)；술후대조조총불량반응솔30.0%,고우관찰조적6.7%(P<0.05)。관찰조소성기배합솔위93.3%,고우대조조적80.0%(P<0.05)。결론：서분태니연합병박분전빙정맥마취용우흉과수술마취효과호,술후청성쾌차불량반응발생솔저,치득림상추엄사용。
Objective:To discuss the anesthesia effects of using sufentanil combined with propofol total intravenous anesthesia. Methods:Sixty patients with thoracic surgery were chosen and divided into two groups according to the random number method ( 30 cases in each group ):the control group was given the traditional intravenous anesthesia;the observation group was given sufentanil 0. 5~1. 5 μg· kg-1 · h-1 combined with propofol 3 ~5 mg · kg-1 · h-1 venous continuous pump and 0. 6 g · kg-1 · min-1 of atracurium was used to keep muscle relaxan. The anesthesia effects and complications of the two groups were recorded and compared. Results:Heart rate of the two groups was declined at T1 compared with T0,and results showed that heart rate of the control group was higher than that of the observation group(P<0. 01) from T2 to T5;systolic blood pressure(SBP) values of the control group were decreased at T1 compared with T0 while SBP values of the observation group were decreased at T3 compared with T0,and SBP values of the control group from T2 to T5 were higher than those of the observation group(P<0. 01);at T4 SpO2 values of the two group were higher than at T0,SpO2 values of and the control group were higher than that of the observation group(P<0. 01). In the control group the extubation time was(18. 3 ± 7. 8) min,significantly longer than that in the observation group(12. 8 ± 6. 9) min(P <0. 01);Postoperative adverse reaction rate of the control group was 30. 0% higher than that of the observation group 6. 7%(P <0. 05). Awakening period match rate in the observation group was 93. 3% higher than that in the control group 80. 0% (P <0. 05). Conclusions:Using sufentanil combined with propofol has better anesthesia effects,also with shorter postoperative awake time and low incidence of adverse reactions,which is worthy of clinical promotion.
