| 七氟烷及地氟烷复合瑞芬太尼行控制性降压的效应比较 |
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| 引用本文： | 柳冰,袁红斌,王明红,林微微,赵颖. 七氟烷及地氟烷复合瑞芬太尼行控制性降压的效应比较[J]. 临床军医杂志, 2009, 37(5): 864-866 |
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| 作者姓名： | 柳冰 袁红斌 王明红 林微微 赵颖 |
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| 作者单位： | 1. 解放军第455医院,麻醉科,上海,200052
2. 解放军第二军医大学长征医院,上海,200003 |
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| 摘 要： | 目的本实验旨在比较七氟烷及地氟烷复合瑞芬太尼行控制性降压的效应。方法颈椎(颈4以下)或胸椎肿瘤患者30名,随机分为两组(n=15):七氟烷组,地氟烷组。控制性降压目标为有创平均动脉压65mmHg左右,可辅助性应用硝酸甘油。结果两组患者HR、MAP在诱导前,插管后,切皮前及切皮后5、15、40min差异均无统计学意义(P>0.05)。达到目标MAP所需时间、两种吸入麻醉药的平均MAC值差异均无统计学意义(P>0.05)。结论七氟烷或地氟烷复合瑞芬太尼均可成功实施控制性降压,减少术中失血,减少围术期并发症。
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| 关 键 词： | 七氟烷 地氟烷 瑞芬太尼 控制性降压 |
Comparison of Controlled Hypotension by Sevoflurane ot Desoflurane Combined with Remifentanil |
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| Abstract: | Objective To evaluate the effects of sevoflurane or desoflurane combined with remifentanil on controlled hypotension. Methods Thirty patients scheduled for vetebrae tumor sugery were divided into 2 groups randomly(n=15):sevoflurane group(S) or desoflurane group(D). Controlled hypotension was achieved at the target mean arterial pressure (MAP) for 65mmHg±.Results There were no significant differences for HR or MAP between 2 groups in observed time points. Conclusion Sevoflurane or desoflurane combined with remifentanil in adults enable controlled hypotension,decreasing blood loss and perioperative complications. |
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| Keywords: | sevoflurane desoflurane remifentanil controlled hypotension |
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