| 异丙酚复合芬太尼维持麻醉对脑代谢的影响 |
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| 引用本文： | 李昌美,杨拔贤.异丙酚复合芬太尼维持麻醉对脑代谢的影响[J].中国冶金工业医学杂志,1999(4). |
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| 作者姓名： | 李昌美 杨拔贤 |
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| 作者单位： | 武汉冶金科技大学医学院麻醉学教研室!430062(李昌美)，北京医科大学第一医院(杨拔贤) |
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| 摘 要： | 观察异丙酚复合芬太尼维持麻醉对脑代谢的影响。方法： 择期手术病人８ 例， 芬太尼、硫贲妥钠、维库溴铵诱导插管， 静脉联接Ｇｒａｓｅｂｙ 微泵异丙酚８ ｍｇ／ （ｋｇ·ｈ） ， 芬太尼１ μｇ／ （ｋｇ·ｈ）维持麻醉。连续监测ＭＡＰ、心电图、脉搏氧饱和度和呼气末二氧化碳分压， 同步采集动脉血和颈内静脉血作血气分析， 计算动－ 静脉氧含量差（Ｄａ － ｖＯ２） 和脑氧摄取率（ＥＲＯ２） 。结果： 异丙酚麻醉维持平稳， Ｄａ － ｖＯ２ 和ＥＲＯ２ 在给药３０ ｍｉｎ 、６０ ｍｉｎ 较气管插管后５ ｍｉｎ 无明显改变， 有平均动脉压下降和心动过缓。结论： 异丙酚复合芬太尼维持麻醉可保持脑氧供需平衡稳定。
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| 关 键 词： | 异丙酚 芬太尼 静脉麻醉 脑代谢 |
Effect of propofol-fentaynl intravenous anesthesia on cerebal metabolism |
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| Li Changmei,Yang Baxian.Effect of propofol-fentaynl intravenous anesthesia on cerebal metabolism[J].Chinese Medical Journal of Metallurgical Industry,1999(4). |
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| Authors: | Li Changmei Yang Baxian |
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| Institution: | Li Changmei,Yang Baxian.Department of Anesthesiology,Medical college,Wuhan Yejin University of Science and Technology.Wuhan 430062 |
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| Abstract: | Objective:To evaluate the influence of propofol fentaynl intravenous anesthesia(IVA) on cerebal metabolism.Methods:The anesethesia was induced by fentaynl thiopentone vecuronium and maintained by propofol fentaynl vecuronium in 8 patients during ordinary surgery.Arterial and venous blood samples were drainaged simultaneously through radial artery and internal jugular catheterization.The cerebal arteriovenous differences of oxygen content (Da-vO 2)were measured,and the extracting rate of oxyen(ERO 2)was calculated.Results:There were no significant differences in Da-vO 2 and ERO 2 between the incubation after 5 min and in 30,60 min after anesthesia maintained with propofol fentaynl.Conclusion:IVA with propofol fentaynl can keep the balance of cerebal oxygen. |
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| Keywords: | Propofol Fentaynl Intravenous anesthesia Cerebral metabolismmg) into a glass bottle with an inside diameter of 12 cm and containing 3 L of bacteria\|containing distilled water through insertion of a tube with multihole nozzle to botto |
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