依托咪酯输注速度对胸外科手术患者麻醉诱导期肌阵挛的影响分析

Analysis on the value of etomidate infusion velocity on myoclonus during anesthesia induction in patients undergoing thoracic surgery

目的:探讨依托咪酯输注速度对胸外科手术患者麻醉诱导期肌阵挛的影响。方法:收治需施行全身麻醉下胸科手术的结核病患者400例,随机分为3组。麻醉诱导期时,分别以不同的输注速度给予3组患者依托咪酯。结果:研究组麻醉诱导期肌阵挛发生率明显低于对照1组及对照2组(P<0.05);研究组麻醉诱导期肌阵挛分级明显低于对照1组及对照2组(P<0.05)。结论:减低依托咪酯输注速度可以显著降低患者发生肌阵挛的概率以及肌阵挛发生的严重程度。

Objective:To investigate the influence of etomidate infusion velocity on myoclonus during anesthesia induction in patients undergoing thoracic department surgery.Methods:400cases of tuberculosis patients who underwent thoracic surgery under general anesthesia were selected.They were randomly divided into3groups.At the time of anesthesia induction,3groups of patients were given etomidate at different infusion speed.Results:The incidence of myoclonus in the anesthesia induction phase of the study group was significantly lower than that of the control group1and the control group2(P<0.05);the grade of myoclonic induction of the anesthesia induction group was significantly lower than that of the control group1and control group2(P<0.05).Conclusion:Reducing the speed of etomidate infusion can significantly reduce the probability of myoclonus and the severity of myoclonus.