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时间:2020-04-23
《术中持续输注小剂量艾司洛尔对瑞芬太尼麻醉患者心血管反应的影响-论文.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、2014年第18卷第3期实用临床医药杂志JournalofC1inica1MedicineinPractice·39·术中持续输注小剂量艾司洛尔对瑞芬太尼麻醉患者心血管反应的影响张学康,李梦圆(南昌大学第一附属医院麻醉科,江西南昌,330006)摘要:目的观察术中持续输注小剂量艾司洛尔对瑞芬太尼麻醉患者心血管反应的影响。方法将40例美国麻醉医师协会(ASA)分级I~Ⅱ级瑞芬太尼麻醉手术患者随机分为对照组(A组)和艾司洛尔组(B组),每组20例。2组均采用气管插管进行全身麻醉,术毕前10rain停用所有麻醉药物,B组于麻醉诱导前持续输注艾司洛尔至气管导管拔管后;A组泵注生
2、理盐水。记录2组全麻诱导前(T1)、插管后即刻(T2)、切皮时(T3)、手术30min(T4)、拔管后即刻(T5)、拔管后30min(T6)等各时段的收缩压(SBp)、舒张压(DJ)、心率(HR)和以收缩压一心率乘积(RPP)。结果与T1比较,2组SBP在T2时明显下降,A组DBP在]r3、T4时明显上升,HR在T2、T5时明显加快,且RPP在T5时明显升高,而B组HR及RPP在T4时明显减缓和降低。时,A组DBP显著高于B组,HR显著快于B组,且RPP显著高于B组,差异均有统计学意义。结论瑞芬太尼麻醉患者术中持续输注小剂量艾司洛尔不会引起严重心动过缓和血压下降,且RP
3、P在气管插管、拔管期不升高,可使血流动力学更加平稳、安全。关键词:艾司洛尔;瑞芬太尼;持续输注;心血管反应中图分类号:R614文献标志码:A文章编号:1672—2353(2014)03—039—03D0I:10,7619~cmp.201403012Influenceofcontinuousintra0perativeinfusionofsmalldoseofesmololoncardi0vascularresponseofpatientswithremifentanilanesthesiaZHANGXuekang,LIMengyuan(DepartmentofAnest
4、hesiology,TheAffiliatedHospitalofNanchangUniversity,Nanchang,Jiangxi,330006)ABSTRACT:ObjectiveToobservetheinfluenceofcontinuousintraoperativeinfusionofsmalldoseofesmololonthecardiovascularresponseofpatientswithremifentani1anesthesia.Methods40patientsunderwentoperationwithremifentanilanes
5、thesiaandASAofI~11wererandomlydividedintocontro1group(groupA)andesmololgroup(groupB),20casesineachgroup.Generalanes—thesiawasperformedbyendotrachealintubationintwogroups.andallanestheticswerestopped10minutesbeforefinishofoperation.GroupBwascontinuouslyinfusedwithesmololtoextubationofthet
6、rachealtube,whilegroupAwasconductedwithnormalsaline.Systolicbloodpressure(SBP),diastolicbloodpressure(DBP),heartrate(HR)andrate—pressureproduct(RPP)wererecordedbeforegeneralanesthesiainduction(T1),pointoftrachealintubation(T2),beginningofoperation(T3),30minutesafterthebeginningofoperatio
7、n(T4),pointoftrachealintubation(T5)and30minutesaftertrachea1intubation(T6).ResultsComparedwithTl,SBPdecreasedsignificantlyatT2inbothgroups,DBPincreasedsignificantlyatT3andT4,HRquickenedsignificantlyatT2andT5andRPPwentupsignificantlyat]r5ingroupA,whileHRandRPPsignificantly
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