期刊文献+

瑞芬太尼和丙泊酚泵注全凭静脉麻醉用于腹腔镜手术 被引量:4

下载PDF
导出
摘要 目的:为观察一种新型的u型阿片受体激动剂-瑞芬太尼的作用,以及评价瑞芬太尼和丙泊酚分别微量静脉泵注用于腹腔镜手术中麻醉的可行性和临床效果。方法:选择择期进行腹腔镜手术患者40例,随机分为R和F两组,F组为对照组,每组20例。麻醉快速诱导后,R组以瑞芬太尼和丙泊酚分别微量静脉泵入维持麻醉,F组以静吸复合维持麻醉,记录并比较两组病人的收缩压(SBP)、舒张压(DBP)、心率(HR),术毕苏醒拔管时间。同时记录并比较术中体动反应及心动过缓的发生情况,并观测不良反应如恶心、呕吐及肌僵现象的发生结果:瑞芬太尼和丙泊酚分别微量静脉泵注用于腹腔镜手术全麻,苏醒快,但可抑制心血管系统,出现心动过缓、血压降低,但可通过控制速率及剂量来控制。仍可发生不良反应,与对照组比较无差异性。结论:瑞芬太尼和丙泊酚分别微量静脉泵注用于腹腔镜手术是可行的,且安全有效。
作者 鲁明芳
机构地区 西安市第五医院
出处 《实用医技杂志》 2008年第8期1064-1066,共3页 Journal of Practical Medical Techniques
  • 引文网络
  • 相关文献

参考文献3

二级参考文献35

  • 1曾慎健.艾司洛尔的临床应用[J].新药与临床,1989,8(3):152-154. 被引量:3
  • 2[1]Kazmaier S, Hanekop GG, Buhre W,et al. Myocardial consequences of remifentanil in patients with coronary artery disease[J ]. Br J Anaesth, 2000,84(5): 578 -583
  • 3[2]Myre K, Raeder J, Rostrup M, et al. Catecholamine release during laparoscopic fundoplication with high and low doses of remifentanil[J ]. Acta Anaesthesiol Scand,2003,47(3) :267 - 273
  • 4[3]Unlugenc H, Itegin M, Ocal I, et al. Remifentanil Produces vasorelaxation in isolated rat thoracic aorta strips[J]. Acta Anaesthesiol Scand, 2003,47 (1): 65 - 69
  • 5[4]Casati A, Fanelli G, Albertin A, et al. Small doses of remifentanil or sufentanil for blunting cardiovascular changes induced by tracheal intubatrion; a doubleblind comparison[J ]. Eur J Anaesthesiol,2001,18(2):108- 112
  • 6[5]Alberth A, Casati A, Deni F, et al. Clinical comparison of either small doses of fentanyl or remifentanil for blunting cardiovascular changes induced by tracheal intubation[ J ]. minerva Anestesiol, 2000,66 (10): 691 -696
  • 7[6]Pelosi G, Gratarola A, Pissala C, et al. Total intravenous anesthesia with propofol and remifentanil for elective non - cardiac surgery[J ]. Minerva Anestesiol, 1999,65(11) :791 - 798
  • 8[7]Munoz HR, Cortinez LI, Altermatt FR, et al. Remifentanil requirements during sevoflurane administration to block somatic and cardiovascular responses to skin incision in children and adults[J ]. Anesthesiology, 2002,97(5) :1142 - 1145
  • 9[8]Olivier P, Sirieix D, Dassier P, et al. Continuous infusion of remifentanil and target - controlled infusion of propofol for patients undergoing cardiac surgery; a new approach for scheduled early extubation [ J ]. J Cardiothorac Vasc Anesth, 2000,14 ( 1 ) :29 - 35
  • 10[9]Shajar AM, Thompson J P, Hall AP, et al. Effect of a remifentanil bolus dose on the cardiovascular response to emergence from anaesthesla and anaesthesia and tracheal extubation[J ]. Br J Anaesth, 1999,83(4) :654 -656

共引文献576

同被引文献27

引证文献4

二级引证文献35

;
使用帮助 返回顶部