| 依托咪酯复合瑞芬太尼靶控静脉麻醉用于妇科腹腔镜手术临床观察 |
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| 引用本文： | 李峰.依托咪酯复合瑞芬太尼靶控静脉麻醉用于妇科腹腔镜手术临床观察[J].湖北民族学院学报(医学版 ),2010,27(1):41-43. |
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| 作者姓名： | 李峰 |
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| 作者单位： | 东南大学附属江阴市人民医院麻醉科,江苏,江阴,214400 |
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| 摘 要： | 目的观察妇科腹腔镜手术中依托咪酯复合瑞芬太尼靶控静脉麻醉对血流动力学的影响。方法40例妇科腹腔镜手术患者随机分为依托咪酯复合瑞芬太尼（简称依托咪酯组）和异丙酚复合瑞芬太尼（简称异丙酚组），采用静脉靶控输注系统静脉麻醉，观察两组患者麻醉前、气管插管前后各1min、切皮后3min、探查后3min、病灶切除后3min以及气管导管拔除后3min等时点的收缩压（SBP）、舒张压（DBP）以及心率（HR）值。结果气管插管前、后1min时点依托咪酯组SBP与DBP均明显高于异丙酚组（P〈0．05），麻醉前两组患者SBP明显高于气管插管前1min（P〈0．05），异丙酚组DBP、HR麻醉前明显高于气管插管前1min（P〈0．05）；气管插管后1min两组患者SBP、DBP、HR明显高于气管插管前1min（P〈0．05，P〈0．01）。探查后3min，依托咪酯组SBP、DBP明显高于异丙酚组（P〈0．05）。病灶切除后3min，依托咪酯组DBP明显高于异丙酚组（P〈0．05）。结论在妇科腹腔镜手术中依托咪酯复合瑞芬太尼靶控静脉麻醉能平稳保持患者血流动力学稳定。
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| 关 键 词： | 依托咪酯 瑞芬太尼 靶控输注 腹腔镜 |
The Hemodynamic Effects of General Anesthesia with Etomidate and Remifentanil Target-controlled Infusion (TCI) in Patients Undergoing Gynaecological |
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| LI Feng.The Hemodynamic Effects of General Anesthesia with Etomidate and Remifentanil Target-controlled Infusion (TCI) in Patients Undergoing Gynaecological[J].Journal of Hubei Institute For Nationalities(Medical Edition),2010,27(1):41-43. |
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| Authors: | LI Feng |
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| Institution: | LI Feng (Department of Anesthesiology, Jiangyin Municipal People＇s Hospital of Southeast University, Jiangyin 214400, China) |
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| Abstract: | Objective To evaluate the hemodynamic effects of general anesthesia with etomidate and remifentanil target-controlled infusion（TCI） in patients undergoing gynaecological laparoscopic surgery. Methods Forty patients undergoing elective gynaecological laparoscopic surgery were randomly divided into etomidate and remifentanil group（ group E, n = 20）, propofol and remifentanil group（group P,n=20）. Both with anesthesia maintained with TCI, SBP, DBP, HR were recorded before anesthesia induction, 1 min before and after trachea cannula,3 min after cutting tegumentum,3 min after exploration,3 min after exsecting focus of infection and ：3 min after exelcymosis endotracheal catheter. Results SBP and DBP of group E were higher than those of group P （P〈0. 05） 1 min before and after trachea cannula,SBP before anesthesia induction in the two groups was higher than that of 1 min before trachea cannula（P〈0. 05）, DBP and HR in group P were higher than those of 1 min before trachea cannula（P〈0. 05） ,SBP,DBP and HR of 1 min after trachea cannula were higher than those of 1 min before trachea cannula in two groups（P〈0. 05 ,P〈0. 01 ）. SBP and DBP of group E were higher than those of group P 3 min after exploration（P〈0. 05）. DBP of group E was higher than that of group P 3 min after exsecting focus of infection（P〈0. 05）. Conclusion It proves to keep stable hemodynamic effects by adopting general anesthesia with etomidate and remifentanil target-controlled infusion （TCI） in patients undergoing gynaecological. |
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| Keywords: | etomidate Remifentanil target-controlled infusion abdominal speculum |
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