丙泊酚复合瑞芬太尼靶控输注喉罩静脉麻醉在甲状腺手术
中的临床应用
蒋永
【期刊名称】《中国现代手术学杂志》 【年(卷),期】2016(020)002
【摘要】Objective To observe the effect of propofol combined remifentanil target controlled infusion in laryngeal mask airway anesthesia in thyroid surgery.Methods 100 cases underwent thyroid surgery from May 2014 to August 2015 were divided into observation group and control group.Each group had 50 cases.The patients in the observation group were given remifentanil combined with propofol target controlled infusion,while the control group was given only propofol target controlled infusion.The indexes of the hemodynamic parameters,the dosage of propofol,awaken time,the incidence of adverse reactions were compared between two groups.Results The indexes of MAP,HR and SpO2 at the time points of T0 and T1 were not different between two groups (P ＞ 0.05).From the time point of T2,the indexes of MAP and HR in the observation group were lower than that of the control group (P ＜ 0.05),but the index of SpO2 in the observation group were higher than that of the control group (P ＜ 0.05).The indexes of spontaneous breathing recovery time,awaken time and the dosage of propofol in the observation group were lower than
that of the control group (P ＜ 0.05),but the index of Steward score in the observation group was higher than that of the control group (P ＜ 0.05).The occurrence rates of dysphoria,cough reflex,nausea and vomiting in the observation group were lower than that of the control group (P ＜ 0.05).Conclusions The application of remifentanil combined propofol target controlled infusion of laryngeal mask airway anesthesia in thyroid surgery patients has less hemodynamic effect,and can reduce the dosage of propofol.And the effect is satisfactory.%目的 观察丙泊酚复合瑞芬太尼靶控输注喉罩静脉麻醉应用于甲状腺手术的效果.方法 选取2014年5月至2015年8月实施甲状腺手术的100例患者,随机分为观察组和对照组,每组各50例.观察组采用瑞芬太尼复合丙泊酚靶控泵入,对照组采用丙泊酚靶控输注.比较两组患者血流动力学变化,丙泊酚的剂量以及苏醒相关指标、不良反应发生率等. 结果 两组患者MAP、HR、SpO2指标在T0与T1时间点均无显著差异(P＞0.05).自T2时间点开始,观察组患者的MAP与HR均显著低于对照组(P＜0.05),而SpO2指标均显著高于对照组(P＜0.05);观察组患者的自主呼吸恢复时间、清醒时间及丙泊酚使用剂量均显著低于对照组(P＜0.05),而Steward苏醒评分显著高于对照组(P＜0.05).观察组患者的拔管时躁动、咳嗽反射、恶心呕吐等不良反应发生率均显著低于对照组(P＜0.05). 结论 甲状腺手术应用瑞芬太尼复合丙泊酚靶控输注喉罩静脉麻醉,对患者血液动力学影响较小,且可减少丙泊酚用量,效果满意.
【总页数】4页(155-158)
【关键词】瑞芬太尼;丙泊酚;全身麻醉;靶控输注
【作者】蒋永
【作者单位】四川省内江市第一人民医院麻醉科,内江641000 【正文语种】中文 【中图分类】R614 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-modern-operative-surgery_thesis/0201234290368.html 【相关文献】
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丙泊酚复合瑞芬太尼靶控输注喉罩静脉麻醉在甲状腺手术中的临床应用
