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时间:2020-04-24
《依托咪酯复合舒芬太尼用于小儿喉罩放置的临床观察-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国当代医药2014年3月第21卷第9期麻醉与镇痛·依托咪酯复合舒芬太尼用于小儿喉罩放置的临床观察文四成麦武军唐一敏陈潜沛广东省清远市清新区人民医院麻醉科,广东清远511800【摘要】目的探讨依托咪酯复合舒芬太尼用于小儿喉罩放置的麻醉效果。方法选择小儿患者60例,随机均分为依托咪酯组(E组,n=30)和丙泊酚组(P组,n=30)。麻醉诱导时,两组患者先缓慢注入舒芬太尼0.3Ixg/kg,随后E组注入依托咪酯乳剂o.3mg/kg,P组注入丙泊酚2mg/kg,采用反转法放置喉罩。观察患儿喉罩置人时反应,出现吞咽、呛咳、屏气、喉痉挛等气道反应或肢体运动,
2、均认为喉罩置人体动反应阳性;记录麻醉诱导前、后1min和喉罩置人后1min患者的HR、SBP、DBP;记录每例患者成功放置喉罩的置人次数及肌阵挛等不良反应发生的病例数。结果喉罩置人体动反应阳性例数:E组2例(6.7%),P组1例(3.3%),两组差异无统计学意义(19>0.05)。E组喉罩放置首次成功28例(93.3%),两次放置成功2例(6.7%),P组喉罩放置首次成功27例(90.0%),两次放置成功3例(10.0%),两组差异无统计学意义(P>0.05)。两组麻醉诱导后1min和喉罩置入后1min患者SBP、DBP与麻醉诱导前比较,E组略有下
3、降(P>0.05),P组明显降低(P4、almaskairwayinsertioninchildrenWENSi-chengMAIWu-jlZrtTANGYi—minCHENQian-peiDepartmentofAnesthesiology,PeoplesHospitalofQingxinDistrictinQingyuanCity,GuangdongProvince,Qingyuan511800,China【Abstract】ObjectiveToexploretheeffectandsafetyofetomidatecombinedwithsufentanilforlaryngea5、lmaskairway(LMA)insertioninchildren.Methods60childrenundergoingoperationwererandomlydividedintoetomidategroup(groupE,n=30)andpropofolgroup(groupP,n=30).Duringinductionsufentanil(0.3p~g/kg)wasinjectedslowlyfirst,then0.3mg/kgetomidateor2mg/kgpropofolwasinjectedrespectivelyintwog6、roups.LMAwasinsertedbyinversionmethod.Allreactionssuchasswallowing,coughing,breathhohling,laryngospasmandlimbmovementsweredefinedaspositivebodyreaction.TheHR,SBPandDBPwererecordedatlminbeforeorafterinductionandafterLMAinsertion.TimesforsuccessfulLMAinsertionandtheadversereacti7、onssuchasthenumberofcasesofmyoclonuswereobservedinallchildren.ResultsTherewasnosignificantdifferenceforLMAinsertionbodyreactionbetweengroupE(2cases,6.7%)andgroupP(1case,3-3%)(P>0.os).IngroupE,28patients(93.3%)weresuccessfullyinsertedLMAinthefirsttime,while2patients(6.7%)didint8、hesecondtime.IngroupP,27patients(90.0%)weresuccessfullyinsert
4、almaskairwayinsertioninchildrenWENSi-chengMAIWu-jlZrtTANGYi—minCHENQian-peiDepartmentofAnesthesiology,PeoplesHospitalofQingxinDistrictinQingyuanCity,GuangdongProvince,Qingyuan511800,China【Abstract】ObjectiveToexploretheeffectandsafetyofetomidatecombinedwithsufentanilforlaryngea
5、lmaskairway(LMA)insertioninchildren.Methods60childrenundergoingoperationwererandomlydividedintoetomidategroup(groupE,n=30)andpropofolgroup(groupP,n=30).Duringinductionsufentanil(0.3p~g/kg)wasinjectedslowlyfirst,then0.3mg/kgetomidateor2mg/kgpropofolwasinjectedrespectivelyintwog
6、roups.LMAwasinsertedbyinversionmethod.Allreactionssuchasswallowing,coughing,breathhohling,laryngospasmandlimbmovementsweredefinedaspositivebodyreaction.TheHR,SBPandDBPwererecordedatlminbeforeorafterinductionandafterLMAinsertion.TimesforsuccessfulLMAinsertionandtheadversereacti
7、onssuchasthenumberofcasesofmyoclonuswereobservedinallchildren.ResultsTherewasnosignificantdifferenceforLMAinsertionbodyreactionbetweengroupE(2cases,6.7%)andgroupP(1case,3-3%)(P>0.os).IngroupE,28patients(93.3%)weresuccessfullyinsertedLMAinthefirsttime,while2patients(6.7%)didint
8、hesecondtime.IngroupP,27patients(90.0%)weresuccessfullyinsert
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