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不同麻醉药物对腹腔镜手术患者血流动力学的影响 被引量:1

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摘要 目的比较不同麻醉药物对腹腔镜手术患者血流动力学的影响。方法60例择期行腹腔镜胆囊切除术病人,随机分为R组(瑞芬太尼组)和F组(芬太尼组),每组30例。麻醉诱导采用静脉注射异丙酚、维库溴铵、咪唑安定,以及瑞芬太尼或芬太尼。麻醉维持采用全凭静脉麻醉,既持续静脉泵注异丙酚和瑞芬太尼或芬太尼。观察诱导前、诱导后1分钟、气管插管后5分钟内及气腹后10分钟的血流动力学变化,同时观察麻醉深度、麻醉苏醒及不良反应等情况。结果两组诱导后M AP和HR值均较诱导前下降。气管插管5分钟内R组血流动力学变化幅度明显小于F组,R组的呼之睁眼和拔管时间少于F组,术后苏醒恢复状况也优于F组。结论使用瑞芬太尼麻醉的腹腔镜手术病人,其血流动力学更稳定,术后苏醒快,麻醉效果好和安全性佳。
作者 胡志强
出处 《西部医学》 2007年第6期1146-1147,共2页 Medical Journal of West China
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