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瑞芬太尼和芬太尼用于不停跳冠状动脉搭桥术麻醉
引用本文:侯守琳,李玉虎,雷波,吴继奋. 瑞芬太尼和芬太尼用于不停跳冠状动脉搭桥术麻醉[J]. 新疆医科大学学报, 2008, 31(9)
作者姓名:侯守琳  李玉虎  雷波  吴继奋
作者单位:新疆医科大学附属中医医院麻醉科,新疆,乌鲁木齐,830000
摘    要:目的:研究瑞芬太尼用于不停跳冠状动脉搭桥术(OPCABG)麻醉的可行性。方法:69例择期OPCABG病人,随机分为芬太尼组(F组,n=34)和瑞芬太尼组(R组,n=35),连续监测心率(HR)、心输出量(CO)、心脏指数(CI)、肺动脉压(PAP)、中心静脉压(CVP)、肺毛细血管楔压(PCWP)、肺血管阻力(PVR)、周身血管阻力(SVR)。结果:与芬太尼组相比,瑞芬太尼组的血液动力学参数无差异。结论:瑞芬太尼可安全地用于不停跳冠状动脉搭桥术麻醉。

关 键 词:瑞芬太尼  不停跳冠状动脉搭桥术  麻醉

Anesthesia of remifentanil and fentanyl for off-pump coronary bypass grafting
HOU Shou-lin,LI Yu-hu,LEI Bo,et al. Anesthesia of remifentanil and fentanyl for off-pump coronary bypass grafting[J]. Journal of Xinjiang Medical University, 2008, 31(9)
Authors:HOU Shou-lin  LI Yu-hu  LEI Bo  et al
Abstract:Objective:To study the feasibility of anesthesia with remifentanil for off-pump coronary bypass grafting(OPCABG).Methods:Sixty-nine patients underwent elective OPCABG,randomly received anesthesia of either fentanyl(Group F,n=34)or remifentanil(Group R,n=35).During anesthesia,hemodynamics parameters(HR,CO,CI,PAP,CVP,PCWP,PVR,SVR)were continuously monitored.Results:Compared with the fentanil group,there was no significant difference the hemodynamic parameters between the two groups.Conclusions:Remifentanil can be safely and feasibly used for OPCABG.
Keywords:remifentanil  off-pump coronary artery bypass grafting  anesthesia
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