静脉复合诱导对冠状动脉搭桥术患者血液动力学的影响

Effects of combined intravenous induction on hemodynamics in patients during coronary artery bypass grafting procedure

目的 :研究咪唑安定 ,芬太尼 ,依托咪酯 ,阿曲库铵静脉复合诱导对冠状动脉搭桥术患者血液动力学的影响。方法 :2 8例行冠状动脉搭桥术患者用咪唑安定 0 2mg/kg ,芬太尼 10 μg/kg ,依托咪酯 0 2mg/kg ,阿曲库铵0 15mg/kg静脉诱导 ,用漂浮导管技术监测诱导前后血液动力学变化。结果 :2 8例患者静脉诱导前后对比 ,心率 ,平均动脉压 ,中心静脉压 ,肺动脉压 ,心脏指数 ,心每搏指数 ,体循环阻力 ,肺循环阻力 ,均无显著性改变 (P >0 0 5 )。结论 :咪唑安定 ,芬太尼 ,依托咪酯 ,阿曲库铵静脉复合诱导用于冠状动脉搭桥术患者 ,诱导过程平稳 。

Aim:To investigate the effects of combined intravenous induction on hemodynamics in patients during coronary artery bypass grafting procedure(CABG).Methods:The 28 patients receiving CABG were induced with midazolam 0.2 mg/kg,fentanyl 10 μg/kg,etomidate 0.2 mg/kg and atracurium 0.15 mg/kg;the hemodynamics parameters (HR,MAP,CVP,PAP,CI,SI,SVR,PVR) were measured with Swan Ganz technique before and after induction.Results:The hemodynamics parameters before and after induction remained unchange markedly ( P >0.05).Conclusion:Induction with midazolam,etomidate,fentanyl and atracurium can satisfactorily control the hemodynamics parameters of the patients during CABG.