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时间:2020-04-17
《不同手术室噪声对无痛人流手术麻醉的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、·762·临床麻醉学杂志2014年8月第3O卷第8期JClinAnesthesiol,August2014,Vo1.30,No.8.临床研究.不同手术室噪声对无痛人流手术麻醉的影响汪芳俊胡建华涂发平刘洋【摘要】目的观察不同手术室噪声对无痛人流手术麻醉的影响。方法选择行人工流产术全麻患者120例,随机分为A组(噪声为30~40dB)、B组(噪声为5O~60dB)和C组(噪声为7O~80dB),每组4O例。静脉推注芬太尼1~g/kg、丙泊酚2.0mg/kg行麻醉诱导,根据患者意识情况可分次追加丙泊酚0.5mg/
2、kg,待其意识消失后开始手术。术中根据患者对手术刺激的反应,必要时分次追加丙泊酚0.5mg/kg。记录噪声干预前5min(To)、麻醉诱导前1min(T)、手术开始后I、3、5、10min(T2、Ta、、TO)以及术后患者清醒时(TO)的MAP、HR、Sr)Oz和BIS值。观察并记录丙泊酚麻醉诱导剂量,同时记录术中追加丙泊酚的剂量;观察人流综合征的发生情况和术后恶心呕吐情况;评价麻醉效果和患者梦境感受并记录患者苏醒时间和离院时间。结果与,ro时比较,T时B、c组MAP和BIS明显升高(PG0.05),HR明
3、显增快(P4、导剂量和术中追加剂量明显减少(PG0.05)。与A组比较,B、C组苏醒时间与离院时间明显延长(P5、hesiology,AffiliatedHospitaI,NorthSi-chuanMedicalCollege,Nanchong637000,ChinaCorrespondingauthor:WANGFang-jun,Email:wfjlxyO06@126.com[Abstract】ObjectiveToinvestigatetheeffectsofnoiseexposureonanestheticeffectofpropofolforinducedabortion.MethodsOnehundredan6、dtwentypatients,undergoinginducedabor—tion,wererandomlydividedintothreegroups(一40each):groupA(noiselevelwas30—40dB),groupB(noiseleve1was50—60dB)andgroupC(noiselevelwas70—80dB).Anesthesiawasinducedwithfentanyl1p_g/kgandpropofol2.0mg/kgfollowedbyboluspropofo7、10.5mg/kgwhenevernee—dedduringtheoperation.Themeanbloodpressure(MAP),heartrate(HR),pulseoxygensatura—tion(Sp()2)andthebispectralindex(BIS)wererecordedat5minutes(To)beforenoiseexposure,1minute(T1)beforeinductionofanesthesia,1minute(Tz),3minutes(T3),5minutes8、(T4)and10mi—nutes(T)fromthebeginningofoperationandatthemomentpatientsrecoveryfromanesthesia(T6).Boththeamountofpropofolrequiredforanesthesiainductionandanesthesiamaintenance,andthein—cidenceofabortionsyndrome
4、导剂量和术中追加剂量明显减少(PG0.05)。与A组比较,B、C组苏醒时间与离院时间明显延长(P5、hesiology,AffiliatedHospitaI,NorthSi-chuanMedicalCollege,Nanchong637000,ChinaCorrespondingauthor:WANGFang-jun,Email:wfjlxyO06@126.com[Abstract】ObjectiveToinvestigatetheeffectsofnoiseexposureonanestheticeffectofpropofolforinducedabortion.MethodsOnehundredan6、dtwentypatients,undergoinginducedabor—tion,wererandomlydividedintothreegroups(一40each):groupA(noiselevelwas30—40dB),groupB(noiseleve1was50—60dB)andgroupC(noiselevelwas70—80dB).Anesthesiawasinducedwithfentanyl1p_g/kgandpropofol2.0mg/kgfollowedbyboluspropofo7、10.5mg/kgwhenevernee—dedduringtheoperation.Themeanbloodpressure(MAP),heartrate(HR),pulseoxygensatura—tion(Sp()2)andthebispectralindex(BIS)wererecordedat5minutes(To)beforenoiseexposure,1minute(T1)beforeinductionofanesthesia,1minute(Tz),3minutes(T3),5minutes8、(T4)and10mi—nutes(T)fromthebeginningofoperationandatthemomentpatientsrecoveryfromanesthesia(T6).Boththeamountofpropofolrequiredforanesthesiainductionandanesthesiamaintenance,andthein—cidenceofabortionsyndrome
5、hesiology,AffiliatedHospitaI,NorthSi-chuanMedicalCollege,Nanchong637000,ChinaCorrespondingauthor:WANGFang-jun,Email:wfjlxyO06@126.com[Abstract】ObjectiveToinvestigatetheeffectsofnoiseexposureonanestheticeffectofpropofolforinducedabortion.MethodsOnehundredan
6、dtwentypatients,undergoinginducedabor—tion,wererandomlydividedintothreegroups(一40each):groupA(noiselevelwas30—40dB),groupB(noiseleve1was50—60dB)andgroupC(noiselevelwas70—80dB).Anesthesiawasinducedwithfentanyl1p_g/kgandpropofol2.0mg/kgfollowedbyboluspropofo
7、10.5mg/kgwhenevernee—dedduringtheoperation.Themeanbloodpressure(MAP),heartrate(HR),pulseoxygensatura—tion(Sp()2)andthebispectralindex(BIS)wererecordedat5minutes(To)beforenoiseexposure,1minute(T1)beforeinductionofanesthesia,1minute(Tz),3minutes(T3),5minutes
8、(T4)and10mi—nutes(T)fromthebeginningofoperationandatthemomentpatientsrecoveryfromanesthesia(T6).Boththeamountofpropofolrequiredforanesthesiainductionandanesthesiamaintenance,andthein—cidenceofabortionsyndrome
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