摘要
目的比较小儿腹腔镜手术中多种不同方式不同用量阿曲库铵的应用,选出合适方式以加快手术周转。方法 80例患儿随即分为4组,以A组以阿曲库铵0.5mg/kg为肌松剂;B组以阿曲库铵0.5mg/kg为肌松剂,术毕自主呼吸恢复即给予拮抗剂。C组以阿曲库铵0.25mg/kg为肌松剂;D组不使用肌松剂,以咪唑安定0.1mg/kg辅助气管插管。结果以阿曲库铵0.25mg/kg为肌松剂在自主呼吸恢复、清醒、拔管均优于其余三组。结论小剂量阿曲库铵在诱导平稳的基础上,苏醒及自主呼吸恢复迅速,适于短小手术对快速周转的要求。
Objective To find a proper dose of atracurium for short-time LP operation for children.Methods Contrast four groups of full dose muscle relaxant,no muscle relaxant,half dose muscle relaxant and full dose muscle relaxant with antagonist.Observe the time of the recovery of auto respiration,awake and extubation.Results Group of half dose muscle relaxant has the shortest time of the recovery of auto respiration,awake and extubation.Conclusion Method of half dose muscle relaxant has a stable anesthesia induction and a quick recovery of auto respiration.It is a good method for LP operation for children.
出处
《中国医疗设备》
2011年第5期136-137,共2页
China Medical Devices
关键词
腹腔镜
阿曲库铵
短小手术
laparoscope
atracurium
short-time operation
