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ID:33402565
大小:2.02 MB
页数:35页
时间:2019-02-25
《右美托咪定在全麻诱导中对脑电双频谱指数及血流动力学的影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、青岛大学硕士学位论文右美托咪定在全麻诱导中对脑电双频谱指数及血流动力学的影响姓名:施彩凤申请学位级别:硕士专业:麻醉学指导教师:张林20120602右美托咪定在全麻诱导中对脑电双频谱指数及血流动力学的影响一摘要目的探讨右美托眯定在全麻诱导中对脑电双频谱指数及血流动力学的影响,从而为右美托咪定在神经外科手术麻醉诱导中的应用提供理论基础。方法选择在全身麻醉下神经外科择期手术病人40例,年龄18"-'-60岁,体质量40"--80kg,ASAI或II级。随机分为两组,右美托咪定组(D组)和生理盐水组(
2、N组)。病人入手术室前30min均肌肉注射苯巴比妥钠0.19及东莨菪碱0.3mg。入麻醉室后开放外周静脉通路,常规监测心率(HR)、收缩压(SBP)、舒张压(DBP)、脉搏氧饱和度(Sp0:)和脑电双频谱指数(BIS)值。诱导前两组分别泵入右美托咪定O.5肛g/kg(D组)或等量生理盐水(N组)10min,随后两组均追加咪达唑仑,待脑电双频谱指数(BIS)值降至60,追加舒芬太尼0.3pg/kg,维库溴铵O.1mg/kg,3min后行气管插管。分别记录两组咪达唑仑的用量;记录病人入室基础值(To
3、),诱导后5min(T1),诱导后10min(T2),插管即刻(T3)以及插管后lmin(T4)、2min(T5)、5rain(T6)的心率、收缩压、舒张压和BIS值。结果麻醉诱导前两组各项指标差异无显著性。D组在T。、T:时刻BIS值显著低于N组(P4、BP、DBP均明显降低(P<0.05)。结论O.5ug/kg右旋美托咪定在全麻诱导中可明显降低BIS值,用于神经外科病人全麻诱导较单用咪达唑仑组血流动力学更稳定。硕士研究生施彩凤(麻醉学)指导教师张林(副教授)关键词:右美托咪定;麻醉,全身;脑电描记术;血流动力学TheeffectofdexmedetomidineinneurosurgeryoftheinductionofgeneralanesthesiaonbispectralindexandhemodynamicABSTRACTobject5、iveaimofthestudyistoinvestigatetheeffectofDexmedctomidineintheinductionofgeneralanesthesiaonbispcctralindexandhcmodynamic,inordertoprovidetheoreticalfoundationfordexmedetomidineinncurosurgery.MethodFortypatients(ASAI-II)aged18—60yearsold,weighting40—6、80kg.undergoingelectiveneurosurgerywererandomlyassignedtoanesthesiawimsaline(groupN)andanesthesiawithdexmedctomidine(groupD).ThepatientsworeintramuscularlyinjectedwitllphenobarbitalO.1gandscopolamine0.3ragbeforeoperations.Afterenteringtheoperatingroo7、m,thepatientswereopenedperipheralvenouschannelsandmonitoredElectrocardiogram(ECG),systolicbloodpressure(SBP),diastolicbloodpressure(DBP),pulseoxygensaturation(Sp02)andBispectral(BIS).neywererandomlyallocatedtoreceivedexmedetomidineO.5pg/kg(GroupD)(n=8、20)orthesalineofthesamedose(GroupN)(n-20),thenthetwogroupswerebothinducedwithmidazolam.WhenBISreducedto60,weinjectedsufentanil0.3ug/kgandvecuronium0.1mg/kg.3minuteslaterweoperatedtrachealintubation.HR,SBP,DBPandBISwererecordedatintervalsbeforeanesthe
4、BP、DBP均明显降低(P<0.05)。结论O.5ug/kg右旋美托咪定在全麻诱导中可明显降低BIS值,用于神经外科病人全麻诱导较单用咪达唑仑组血流动力学更稳定。硕士研究生施彩凤(麻醉学)指导教师张林(副教授)关键词:右美托咪定;麻醉,全身;脑电描记术;血流动力学TheeffectofdexmedetomidineinneurosurgeryoftheinductionofgeneralanesthesiaonbispectralindexandhemodynamicABSTRACTobject
5、iveaimofthestudyistoinvestigatetheeffectofDexmedctomidineintheinductionofgeneralanesthesiaonbispcctralindexandhcmodynamic,inordertoprovidetheoreticalfoundationfordexmedetomidineinncurosurgery.MethodFortypatients(ASAI-II)aged18—60yearsold,weighting40—
6、80kg.undergoingelectiveneurosurgerywererandomlyassignedtoanesthesiawimsaline(groupN)andanesthesiawithdexmedctomidine(groupD).ThepatientsworeintramuscularlyinjectedwitllphenobarbitalO.1gandscopolamine0.3ragbeforeoperations.Afterenteringtheoperatingroo
7、m,thepatientswereopenedperipheralvenouschannelsandmonitoredElectrocardiogram(ECG),systolicbloodpressure(SBP),diastolicbloodpressure(DBP),pulseoxygensaturation(Sp02)andBispectral(BIS).neywererandomlyallocatedtoreceivedexmedetomidineO.5pg/kg(GroupD)(n=
8、20)orthesalineofthesamedose(GroupN)(n-20),thenthetwogroupswerebothinducedwithmidazolam.WhenBISreducedto60,weinjectedsufentanil0.3ug/kgandvecuronium0.1mg/kg.3minuteslaterweoperatedtrachealintubation.HR,SBP,DBPandBISwererecordedatintervalsbeforeanesthe
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