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静脉复合麻醉药物对手术病人生理学参数的影响
引用本文:曹平,刘继娴,张义长,赵新京.静脉复合麻醉药物对手术病人生理学参数的影响[J].陕西医学杂志,2004,33(7):635-637.
作者姓名:曹平  刘继娴  张义长  赵新京
作者单位:1. 陕西医学高等专科学校,西安,710068
2. 宝鸡市人民医院
3. 西安交通大学第一医院
摘    要:目的 :观察芬太尼、咪哒唑仑、丙泊酚联合用于静脉麻醉诱导和维持过程中对生理指标的影响。方法 :对 60例不同手术病人采用芬太尼、咪哒唑仑、丙泊酚诱导 ,静脉持续输注咪哒唑仑、丙泊酚 ,间断注射芬太尼与维库溴铵维持静脉复合麻醉 ,持续监测 ECG,BP,心率 ,Sa O2 ,PETCO2 。结果 :血流动力学指标变化不大 ,生理反射平稳 ,无并发症。结论 :全凭静脉复合麻醉适用于各类外科手术的麻醉要求。

关 键 词:麻醉药  静脉/治疗应用  监测  手术中  监测  生理学

Influence of total intravenous anesthesia on the physiological indices of surgical patients
Institution:Xi'an710068
Abstract:Objective: To observe the influence of combining fentanyl, midazolam and propofol for induction and maintenance in intravenous anesthesia on physiological indices of surgical patients. Methods:60 patients undergoing various operations were chosen as subjects; general anesthesia was induced with fentanyl, midazolam and propofol, then maintained by combining infusion of these drugs and by intermittent injection of vecuronium and fentanyl. ECG,BP,HR,SaO 2,and P ETCO 2 were monitored during the anesthesia. Results:The hemodynamics were stable. Physiological respouses were stable and no complication was observed. Conclusion:The total intravenous anesthesia are fit for the need of all kinds of surgeries.
Keywords:Anesthetics  intravenous/therapeutic use Monitoring  intraoperative Monitoring  physiologic
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