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不同麻醉药物对OSAS患者插管前后血流动力学和NO/ET的影响

The Effect of Different Anesthetics on The Hemodynamics and NO/ET in Patient With OSAS During Intubation
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摘要 目的:研究不同静脉麻醉药物对阻塞性睡眠呼吸暂停综合征(obstructive sleep apneasyndrome,OSAS)患者气管插管前后血流动力学以及血浆中一氧化氮(NO)和内皮素(ET)的影响。方法:择期OSAS行悬雍垂腭咽成形术(uvulopalatopharyngoplasty,UPPP)的患者30例,根据插管前后给予药物的不同分为3组(n=10)。结果:丙泊酚组插管前后血压、心率、NO/ET均无明显改变。结论:小剂量的丙泊酚是OSAS患者插管期的较好选择。 Objective:We studied the effects of the different intravenous anesthetics on the hemodynamics and the plasma levels'of nitric oxide(NO)and endothelin(ET)in obstructive sleep apnea syndrome(OSAS)patients induced by stress response to tracheal intubation. Methods:30 selected OSAS patients undergoing uvulopalatopharyngoplasty( UPPP), were divided into 3 groups ( n = 10 ) : A group ( N. S group), B group (etomidate), C group(propofol). Results: In propofol group SBP,DBP,HR and NO/ET remained unchanged during intubation. Conclusions:Small dose propofol is the intravenous anesthetic choice for patients with OSAS during intubation.
出处 《内蒙古医学杂志》 2006年第5期395-397,共3页 Inner Mongolia Medical Journal
关键词 阻塞性睡眠呼吸暂停综合征 丙泊酚 血流动力学 一氧化氮 内皮素 Obstructive sleep apnea syndrome Propofol Hemodynamic NO ET
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