期刊文献+

舒芬太尼、芬太尼在小儿手术麻醉中的对比观察 被引量:3

下载PDF
导出
摘要 40例ASAⅠ或Ⅱ级、择期行耳鼻喉手术的患儿,随机分为舒芬太尼组(Suf组)和芬太尼组(F组).各20例。两组在静脉注射咪唑安定、异丙酚、维库溴铵基础上分别注射舒芬太尼和芬太尼。两组患儿的麻醉效果均满意.两组麻醉诱导后1 min及插管后2、5 min的血流动力学变化有显著性差异(P<0.05);术中平均动脉压(MAP)基本稳定;suf组麻醉后呼吸恢复时间为(4.5±1.3)min,睁眼时间(8.4±1.8)min,拔管时间(12.6±2.4)min,发生呼吸道梗阻1例.F组分别为(15.3±3.2)、(22.5±4.4)、(25.7±4.8)min和4例。两组相比.P均<0.05。认为舒芬太尼与等效剂量的芬太尼在麻醉诱导、麻醉维持和苏醒期相比,血液动力学更稳定.镇痛作用更强,呼吸抑制更轻.苏醒更快,在小儿麻醉中应用舒芬太尼更安全有效。
出处 《山东医药》 CAS 北大核心 2007年第18期26-27,共2页 Shandong Medical Journal
  • 相关文献

参考文献3

  • 1[3]孙大金,杭燕南. 实用麻醉学[M]. 北京:中国医药科技出版社,2001:868
  • 2刘鲲鹏,廖旭,薛富善.舒芬太尼的药理学和临床应用[J].中国医药导刊,2005,7(6):454-457. 被引量:229
  • 3[3]Bailey PL.Sufentanil produces shorter lasting respiratory depression and longer lasting analgesia than equipotent doses of fentanyl in human volunteers[J].Anesthesiology,1986,65(3):493.

二级参考文献24

  • 1Howie MB, Smith DF, Reiley TE, et al. Postoperative course after sufentanil or fentanyl anesthesia for coronary artery surgery. J Cardiothorac Vasc Anesth, 1991:5:485-489.
  • 2Philbin DM, Rosow CE, Schneider RC, et al. Fentanyl and sufentanil anesthesia revisited: how much is enough?Anesthesiology, 1990:73:5-11.
  • 3Bailey PL, Streisand JB, East KA, et al. Differences in magnitude and duration of opioid-induced respiratory depression and analgesia with fentanyl and sufentanil. Anesth Analg, 1990:70:8-15.
  • 4Bowdle TA, Ward R J. Induction of anesthesia with small doses of sufentanil or fentanyl: dose versus EEG response,speed of onset and thiopental requirement.Anesthesiology,1989:70:26-30.
  • 5Sperry R J, Bailey PL, Reichman MV, et al. Fentanyl and sufentanil increase intracranial pressure in head trauma patients. Anesthesiology, 1992:77:416-420.
  • 6Wehlstabl C, Mayer N, Richlhlg B, et al. Effects of sufentaml on hltracranial pressure in neurosurgical patients.Anesthesia, 1991:46:837-840.
  • 7Smith NT, Dec-Silver H, Sanford RJ, et al. EEGs during high-dose fentanyl-, sufentanil-, or morphine-oxygen anesthesia. Anesth Analg, 1984:63:386-393.
  • 8Flacke JW, Bloor BC, Flacke WE, et al. Comparison of morphine, meperidine, fentanyl, and sufentanil in balanced anesthesia: a double-blind study. Anesth Analg, 1985:64:897-910.
  • 9Shafer SL, Varvel JR. Pharmacokinetics, pharmacodynamics and rational opioid selection. Anesthesiology, 1991:74:53-63.
  • 10Youngs E J, Shafer SL. Pharmacokinetic parameters relevant to recovery from opioids, Anesthesiology, 1994;81:833-42.

共引文献229

同被引文献16

引证文献3

二级引证文献15

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部