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可弯曲喉罩联合静脉麻醉在听力重建术中的应用
引用本文:宋晓红,李天佐,杨静,李小葵.可弯曲喉罩联合静脉麻醉在听力重建术中的应用[J].临床麻醉学杂志,2011,27(5).
作者姓名:宋晓红  李天佐  杨静  李小葵
作者单位:首都医科大学附属北京同仁医院麻醉科,100730
摘    要:目的 观察可弯曲喉罩联合静脉麻醉用于人工听骨听力重建术的效果.方法 择期人工听骨听力重建术患者40例,随机均分为可弯曲喉罩组(F组)和气管内插管组(I组),均采用瑞芬太尼一丙泊酚静脉麻醉.记录两组SBP、DBP和HR,术野清晰度评分及自主呼吸恢复时间、拔管时间及BIS.结果 术中F组SBP、DBP低于I组,术野清晰度优于I组;拔管时,F组SBP、DBP及HR波动小于I组(P<0.05)、呛咳反应更轻(P<0.01);F组呼吸恢复及拔管时间长于I组(P<0.05);F组BIS值高于I组(P<0.05).结论 与气管内插管相比,可弯曲喉罩联合静脉麻醉应用于人工听骨听力重建术更具优势,但需注意麻醉深度监测.

关 键 词:可弯曲喉罩  静脉麻醉  人工听骨听力重建术

Application of LMA-flexible and total intravenous anesthesia in tympanoplasty with prosthesis implant
SONG Xiao-hong,LI Tian-zuo,YANG Jing,et al..Application of LMA-flexible and total intravenous anesthesia in tympanoplasty with prosthesis implant[J].The Journal of Clinical Anesthesiology,2011,27(5).
Authors:SONG Xiao-hong  LI Tian-zuo  YANG Jing  
Institution:SONG Xiao-hong,LI Tian-zuo,YANG Jing,et al.Department of Anesthesiology,Beijing Tongren Hospital,Beijing 100730,China
Abstract:Objective To observe the characteristics and resuscitation quality of total intravenous anesthesia in combination with LMA flexible in tympanoplasty with prosthesis implant.Methods Forty patients undertaking tympanoplasty with prosthesis implant were randomly divided into two groups: group F(n=20,with LMA flexible) and group I(n=20,with endotreacheal intubation).In both groups anesthesia were maintained with remifentanil and propofol.Hemodynamic index,surgical field score,cough reflex during extubation peri...
Keywords:LMA-flexible  Total intravenous anesthesia  Tympanoplasty with prosthesis implant  
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