丙泊酚 芬太尼在全麻术后苏醒期的应用

Application of Propoxate and Fentanyl in Awaking of General Anesthesia

目的 探讨丙泊酚芬太尼对全麻术后催醒作用。方法 选择全麻术后病人 30例 ,ASAⅠ～Ⅱ级 ,将 30例分为自然苏醒组与丙泊酚芬太尼催醒组 ,每组各 15例。观察组术后于手术结束前 15min先肌注芬太尼 0 0 5mg/kg ,再经微量泵以 1mg/ (kg·h)静注丙泊酚维持。结果 自然苏醒组 ,支持呼吸 (2 0± 5 )min后 ,病人意识渐恢复 ,躁动 ,吞咽频繁 ,剧烈咳嗽 ,呼吸不规整。需强制固定四肢行辅助呼吸 ,血压升高达15 2 9～ 2 3 94 / 12 6 3～ 15 2 9kPa(115～ 180 / 95～ 115mmHg) ,心率HR 115～ 135次 /min。苏醒期时间 (2 0±10 5 )min。丙泊酚组 ,支持呼吸期 ,病人安静 ,血压维持在 16 6 2～ 18 6 2 / 10 10～ 12 36kPa ,停用丙泊酚后 (8± 2 5 )min ,意识完全恢复 ,苏醒期时间 (2 5± 12 )min。结论 全麻术后应用丙泊酚能明显缩短苏醒期 。

Objective To discuss the awaking action of propoxate and fentanyl in general anesthesia after operation. Methods 30 cases patient who needed to be accepted general anesthesia were divided into 2 group (15 cases per each). The control group was treated with natural awaking and the therapy group was treated with propoxate and fentanyl. The clinical data was observed. Results The clinical data in natural group was not as good as that in therapy group. Conclusion The propoxate and fentanyl might shorten the awaking time with smooth data of vital signs.