芬太尼丙泊酚预防气管插管加压反应的临床体会

目的:避免全麻气管插管时的血压增高,心率增快。方法:芬太尼2μg/kg,丙泊酚1~1.5 mg/kg,全麻诱导,气管插管。结果:全部病例全麻诱导前到插管时血压、心率差均数t检验P<0.01,存在非常显著性差异,而从插管时到插管后5 min血压、心率t检验P>0.05,差异无显著性,说明此方法可以有效降低诱导插管时的血压、心率,控制加压反应,而且插管后血压、心率无反弹,大大减轻了气管插管时的心血管反应。结论:在全麻诱导期调整和加用芬太尼2μg/kg,丙泊酚1~1.5 mg/kg,有效避免了全麻气管插管引起的血压急剧升高和心率增快、平均动脉压升高等心血管副反应,进一步提高了手术麻醉期的安全性。

Fentanyl propofol pressure response to tracheal intubation clinical experience

Objective:To avoid general anesthesia endotracheal intubation,higher blood pressure,heart rate increased faster.Methods:Fentanyl 2 μg/kg and propofol 1～1.5 mg/kg,general anesthesia induction,tracheal intubation.Results:All patients prior to general anesthesia induced by intubation blood pressure and heart rate were poor t-test P<0.01,there was a significant difference from intubation to five minutes after intubation blood pressure,heart rate t-test P>0.05,no significant difference on this side law can be effectively induced by intubation to reduce blood pressure,heart rate,pressure control reaction,and after intubation blood pressure,heart rate without rebound greatly reduced when the tracheal intubation cardiovascular response.Conclusion:Our general anesthesia induction period adjustment and processing spent fentanyl 2 μg/kg and propofol 1～1.5 mg/kg effectively avoid general anesthesia endotracheal intubation-induced blood pressure and heart rate increased sharply by fast,mean arterial hypertension,and other cardiovascular side to further enhance the operation ma drunk view of security.