得普利麻静脉复合麻醉的临床研究

Clinical study of intravenous diprivan balanced anesthesia

本研究选择期胆囊切除术５０例，采用得普利麻醉诱导和得普利麻静脉复合麻醉（ＩＳＢＡ），观察其诱导效果，血流动力学变化和术后恢复情况，并与国内普遍应用的硫喷妥钠诱导和普鲁卡因静脉复合麻醉（ＩＰＢＡ）作对比。结果表明，得普利麻具有硫喷妥钠起效快之忧点；得普利麻比硫喷妥钠更能有效地抑制气管插暂时的心血管反应：ＩＤＢＡ比ＩＰＢＡ更能获得理想的麻醉效果；停麻药后患者自主呼吸恢复，呼之脓眼，极管和准确回答的时间明显快于ＩＰＢＡ。

In this study ,intravenous diprivan induced anesthesia and IDBA were uaed in 50 patients selective cholecystedtomy to observe these drug's inducing effects,patients' hemodynamic changes and postoperative recovery,and compare their anesthetic effect with these of intravenous sodium thiopental anesthesia and IPBA which were commonly used at home. Results showed that diprivan had the same advantage of rapid induction as sodium thiopental;diprivan could more effectively inhibit cardiovaacular reactions during thracheal intubation than thiopental;IDBA had a more ideal anesthitic effect than IPBA;and in IDBA group after operations,it takes shorter time for patients to recover their automatic respiration,open their eyes,remove their tubes and answer questions accurately. The conclusionidiprivan is a safe and effective inducer and anesthetic agent and IDBA is a new way of intravenous balanced anesthesia.