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硬外辅助丙泊酚-氯胺酮麻醉在腹腔镜卵巢肿瘤切除术的应用 被引量:2

Application of Epidural Auxiliary Propofol-ketamine Anesthesia in Laparoscopic Ovarian Tumor Resection
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摘要 目的丙泊酚-氯胺酮麻醉用于腹腔镜手术的麻醉效果。方法选择ASAⅠ~Ⅱ级,腹腔镜下卵巢肿瘤切除术患者60例,随机分为K组(丙泊酚-氯胺酮组)、F组(丙泊酚-芬太尼组)。两组确定硬膜外麻醉平面不超过T6,且麻醉效果确切。于气腹前分别静脉泵入各组设定的麻醉药维持麻醉,在气腹解除后停止麻醉药泵入。术中严密观察:平均动脉(MAP)、心率(HR)、血氧饱和度(HPO2)的变化情况。记录麻醉起效时间、清醒时间、用药总量、不良反应、燥动,及对呼吸循环的影响。结果 K组用药量明显少于F组,且具有起效快、苏醒时间短,病人无燥动和不良反应少,且对呼吸、循环系统影响较小等优点。组间比存在明显差异性(P<0.05)。结论硬膜外辅助丙泊酚-氯胺酮麻醉较之辅助丙泊酚-芬太尼麻醉更适合于腹腔镜卵巢肿瘤切除术的麻醉方法。
作者 伍胜
出处 《现代诊断与治疗》 CAS 2013年第3期517-518,共2页 Modern Diagnosis and Treatment
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