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丙泊酚或七氟烷复合瑞芬太尼麻醉对妇科腹腔镜手术病人麻醉苏醒的影响 被引量:29

Effect of Propofol/Remifentanil and Sevoflurane/Remifentanil Anesthesia on the Emergence in Patients Undergoing Gynecological Laparoscopy
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摘要 目的:比较丙泊酚或七氟烷复合瑞芬太尼用于妇科腹腔镜手术后麻醉复苏质量。方法:选择ASAⅠ级,拟于气管内插管全身麻醉下行腹腔镜子宫肌瘤剔除术的患者30例,随机分为七氟烷组(S组)和异丙酚组(P组),每组15例。麻醉诱导采用丙泊酚,芬太尼,爱可松。完成气管播管后,S组吸入七氟烷维持麻醉,P组静脉持续输注丙泊酚(4~6)mg/kg·h维持麻醉。两组均同时复合瑞芬太尼连续输注,根据血流动力学变化调整瑞芬太尼给药速度,维持循环稳定。观察各时点血流动力学参数,苏醒时间,肌力等级,疼痛评分,躁动评分并记录。结果:P组在手术开始时血压低于S组(P<0.05),其它各时点血流动力学指标以及苏醒时间、肌力、疼痛评分和躁动评分两组间无显著性差异(P>0.05)。结论:丙泊酚或七氟烷复合瑞芬太尼用于妇科腹腔镜手术后苏醒迅速,躁动发生率低。 Objective compare me emergence properties of propofol /remifentanil with sevoflurane/remifentanil anesthesia in patients undergoing gynecological laparoscopy.Methods:Thirty ASA classⅠfemale patients with bysteromyoma were randomly allocated to two groups with 15 cases each.Anesthesia was maintained with sevoflurane after anesthesia induction with propofol,fentanyl,and rocuromum in group S,and maintained with propofol infusion in group P.At the end of operation,all anesthetics were discontinued and the time of opening eyes,muscle force scores,pain scores and agitation scores were also analyzed.Results:BP at the beginning of skin incision was significantly lower in group P than group S(P0.05).Other parameters were not significantly different between groups(P0.05). Conclusion:Propofol/remifentanil and sevoflurane/remifentanil both provide satisfactory anesthesia for gynecological laparoscopy,and the effects are similar between these two techniques.
出处 《中国医药导刊》 2011年第11期1925-1926,共2页 Chinese Journal of Medicinal Guide
关键词 丙泊酚 七氟烷 瑞芬太尼 麻醉苏醒 Propofol Sevoflurane Remifentanil Anesthesia emergence
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参考文献6

  • 1陈绍辉,罗爱伦,赵晶,黄宇光.丙泊酚复合雷米芬太尼或氧化亚氮用于妇科腹腔镜诊疗手术麻醉苏醒的比较[J].临床麻醉学杂志,2006,22(10):755-757. 被引量:9
  • 2Tang J,Chen L,White PF,et al.Recovery profile,costs,and patient satisfaction with propofol and sevoflurane for fast-track office-based anesthesia. Anesthesiology . 1999
  • 3Lerman J.Inhalational anaesthetic s. Paediatric Anaesthesia . 2004
  • 4Anil Gupta,Tracey Stierer,Rhonda Zuckerman,et al.Comparison of recovery profile afteranesthesia with propofol,isoflurane,sevoflurane and desflurane:A systematic review. Anesthesia and Analgesia . 2004
  • 5Shoichi Uezono,Takahisa Goto,Katsuo Terui,et al.Emergence agitation after sevoflurane versus propofol in pediatric patients. Paediatric Anaesthesia . 2000
  • 6Murray DJ,Cole JW,Shrock CD,et al.Seveoflurane versus halothane:effect of oxycodone premedication on emergence behaviour in children. Paediatric Anaesthesia . 2002

二级参考文献8

  • 1耿志宇,许幸.瑞芬太尼的临床药理学[J].国外医学(麻醉学与复苏分册),2004,25(4):203-206. 被引量:208
  • 2余淑珍,刘保江.瑞芬太尼的药理学、临床研究和应用进展[J].国外医学(麻醉学与复苏分册),2004,25(6):356-358. 被引量:120
  • 3安刚 张亚军 鲍莉莉.两条医学概念名称翻译的建议[J].中华麻醉学杂志,1999,19(9):549-549.
  • 4Chung F,Mulier JP,Scholz J,et al.A comparison of anaesthesia using remifentanil combined with either isoflurane,enflurane or propofol in patients undergoing gynaecological laparoscopy,varicose vein or arthroscopy surgery.Acta Anaesthesiol Scand,2000,44:790-798.
  • 5Loop T,Priebe HJ.Recovery after anesthesia with remifentanil combined with propofol,desflurane,or sevoflurane for otorhinolaryngeal surgery.Anesth Analg,2000,91:123-129.
  • 6Milne SE,Kenny GNC,Schraag S.Propofol sparing effect of remifentanil using closed-loop anaesthesia.Br J Anaesth,2003,90:623-629.
  • 7Mertens SE,Olofsen E,Engbers Frank HM,et al.Propofol reduces perioperative remifentanil requirements in a synergistic manner.Anesthesiology,2003,99:347-359.
  • 8Kapila A,Glass PS,Jacobs JR,et al.Measured context-sensitive half-times of remifentanil and alfentanil.Anesthesiology,1995,83:968-975.

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