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丙泊酚联合舒芬太尼在肩周炎手法松解术中的应用
引用本文:孟秀荣. 丙泊酚联合舒芬太尼在肩周炎手法松解术中的应用[J]. 中国康复理论与实践, 2011, 17(8): 770-772
作者姓名:孟秀荣
作者单位:北京市昌平区中医医院麻醉科,北京市,102200
摘    要:目的观察丙泊酚与舒芬太尼联合应用在肩周炎手法松解术中的效果。方法将62例拟在静脉麻醉下行手法松解术的肩周炎患者随机分为两组,每组31例。丙泊酚组(P组)术前静脉注射丙泊酚2 mg/kg,患者意识消失后开始手术,术中可静脉追加丙泊酚,每次0.5 mg/kg。丙泊酚联合舒芬太尼组(PS组)术前先采用静脉泵输入舒芬太尼0.1μg/kg作为负荷量,然后以0.1μg/kg/h的速度持续输注舒芬太尼,其他操作同P组。记录血压、心率、脉搏血氧饱和度、丙泊酚注射痛、术中麻醉效果分级、术后镇痛效果分级、麻醉苏醒时间、术后恶心呕吐情况。结果 PS组在术中麻醉效果及术后镇痛效果方面明显优于P组(P<0.01),且PS组未出现丙泊酚注射痛。两组在血压、心率、脉搏血氧饱和度、苏醒时间以及术后恶心、呕吐方面无显著性差异(P>0.05)。结论丙泊酚与舒芬太尼联合应用能够有效提高术中麻醉效果及术后镇痛效果。

关 键 词:丙泊酚  舒芬太尼  肩周炎  手法松解术

The Application of Propofol Combined with Sufentanil in Manipulation Release on Scapulobumeral Periarthritis
MENG Xiu-rong. The Application of Propofol Combined with Sufentanil in Manipulation Release on Scapulobumeral Periarthritis[J]. Chinese Journal of Rehabilitation Theory and Practice, 2011, 17(8): 770-772
Authors:MENG Xiu-rong
Affiliation:MENG Xiu-rong The Department of Anesthesiology,Changping Traditional Chinese Medicine Hospital,Beijing 102200,China
Abstract:Objective To observe the effect of propofol combined with sufentanil in manipulation release on scapulohumeral periarthri-tis.Methods 62 patients with scapulohumeral periarthritis undergoing manipulation release were randomly assigned to propofol group(Group P) and propofol combined with sufentanil group(Group PS) with 31 cases in each group.Group P received 2 mg/kg dose of intrave-nous propofol pre-operatively and Group PS received 2 mg/kg dose of intravenous propofol combined with sufentanil of which the ...
Keywords:propofol  sufentanil  scapulohumeral periarthritis  manipulation release  
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