| 雷米芬太尼复合丙泊酚对腹腔镜胆囊切除术老年患者应激反应的抑制作用 |
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| 引用本文： | 何常佑,张朝贵,陈敏,刘炼波,杨琦,曾国丽.雷米芬太尼复合丙泊酚对腹腔镜胆囊切除术老年患者应激反应的抑制作用[J].临床麻醉学杂志,2010,26(2). |
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| 作者姓名： | 何常佑 张朝贵 陈敏 刘炼波 杨琦 曾国丽 |
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| 作者单位： | 1. 四川省宜宾市第二人民医院麻醉科,644000
2. 四川省宜宾市第二人民医院核医学科,644000 |
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| 摘 要： | 目的观察雷米芬太尼复合丙泊酚麻醉用于老年患者腹腔镜胆囊切除术的应激反应的抑制作用。方法择期行腹腔镜胆囊切除术老年患者60例随机均分为两组。观察组用雷米芬太尼复合丙泊酚,对照组用芬太尼复合丙泊酚。记录麻醉诱导前(T1)、插管前(T2)、插管后30min(T3)、气腹毕(T4)和术毕(T5)的MAP、HR。检测T1、T3及术后2h(T6)血糖、胰岛素及血清皮质醇。结果对照组在T2、T3时MAP较T1时下降、HR减慢(P<0.05),T3、T6时对照组血清皮质醇及血糖均高于T1时且高于观察组(P<0.05)。结论雷米芬太尼复合丙泊酚麻醉能有效抑制老年腹腔镜胆囊切除术患者应激反应。
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| 关 键 词： | 雷米芬太尼 芬太尼 应激反应 老年 |
The inhibition of remifentanil combined with propofol on stress response in elderly patients undergoing laparoscopic cholecystectomy |
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| HE Chang-you,ZHANG Chao-gui,CHEN Min,et al..The inhibition of remifentanil combined with propofol on stress response in elderly patients undergoing laparoscopic cholecystectomy[J].The Journal of Clinical Anesthesiology,2010,26(2). |
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| Authors: | HE Chang-you ZHANG Chao-gui CHEN Min |
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| Institution: | HE Chang-you,ZHANG Chao-gui,CHEN Min,et al. Second PeopLe's Hospital of Yibin,Yibin 644000,China |
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| Abstract: | Objective To observe the inhibition of remifentanil combined with propofol on stress response in elderly patients undergoing laparoscopic cholecystectomy(LC).Methods Sixty old LC patients were divided randomly into two groups of observation group and control group with 30 cases each. Anesthesia with remifentanil and propofol was used in group observation group and fentanyl and propofol in group control group.MAP and HR were recorded before anesthesia(T1),before intubatton(T2),at 30 min after intubatton(T3),... |
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| Keywords: | Remifentanil Fentanyl Stress response Geriatrics |
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