丙泊酚与依托咪酯靶控输注在支气管镜麻醉效果的对比

Comparison of the Effect of Propofol and Etomidate Target Controlled Infusion in Bronchoscopy Anesthesia

目的在支气管镜麻醉期间分别应用丙泊酚与依托咪酯靶控输注,对比麻醉效果。方法利用自愿参与原则,选取我院2015年1月—2016年12月所收治的行支气管镜检查的患者58例作为研究对象,分采用随机数字表法,将其分为研究组(n=29)和对照组(n=29)。对照组患者:在麻醉过程中应用丙泊酚+瑞芬太尼靶控输注,研究组患者:在麻醉过程中应用依托咪酯+瑞芬太尼靶控输注,将两组患者组间数据进行统计学分析,计算出相关数值。结果与对照组患者对比,研究组患者苏醒时间延长且不良事件发生率较低(低血压、注射痛),差异具有统计学意义(P<0.05)。结论在支气管镜麻醉期间应用依托咪酯靶控输注,可促使患者血压更加平稳,不良事件发生率更低,麻醉效果较为理想,但是需要注意的是易发生恶心和呕吐。

Objective To compare the effect of propofol and etomidate target controlled infusion during anesthesia. Methods From January 2015 to December 2016, 58 patients with bronchoscopy admitted in our hospital recent years were divided into control group and experimental group according to random number method, 29 cases in each group. The control group was treated with Propofol and remifentanil target controlled infusion during anesthesia, while experimental group was administered etomidate and remifentanil target controlled infusion during anesthesia, the efficacy of two groups were observed and compared. Results Compared with the control group, the recovery time of the study group was prolonged, and the incidence of adverse events was low （hypotension, injection pain）, the difference was statistically significant （P〈0.05）.Conelusion Etomidate target controlled infusion anesthesia can make the bronchoscope patients with stable blood pressure and lower incidence of adverse events, the anesthesia effect is exert, but need to pay attention to nausea and vomiting.