预防琥珀胆碱的肌震颤的对策

目的：采取一些对策，预防琥珀胆碱的肌震颤。方法：３０例手术病人随机分成三组：Ⅰ组麻醉诱导用２．５％硫喷妥钠５ｍｇ／ｋｇ，静脉快速推注琥珀胆碱１ｍｇ／ｋｇ。Ⅱ、Ⅲ组麻醉诱导用芬太尼、依托咪酯，琥珀胆碱的剂量Ⅱ组为１ｍｇ／ｋｇ、Ⅲ组为０．８ｍｇ／ｋｇ。结果：Ⅲ组肌震颤程度最低，与Ⅰ组有非常显著的差异（Ｐ〈０．０１）。结论：麻醉诱导选择芬太尼、依托咪酯，琥珀胆碱剂量为０．８ｍｇ／ｋｇ，可基本预防琥珀胆碱

Prevention of tetanic associated with succinglcholine

Objective:[WT5BZ][ST5BZ]To prevent tetanic associated with succinylcholine.[WT5HZ]Methods:[WT5BZ]30 cases of operative patients were divided into 3 groups in radom:Group 1:anesthesia by 2.5% thiopentol(5 mg/kg),Group 2 and 3 by fentangl,etomidate,The dose of succinylcholine is 1 mg/kg in group l or 2, 0.8mg/kg in group 3.[WT5HZ]Results:[WT5BZ]Group 3 showed the lowest ratio of tetanic compared with group 1 (P<0.01).[WT5HZ]Conclusions:[WT5BZ]Tetanic during induclion of anesthesia associated with succinylcholine can be prevented by fentanyl,etomidate and succinylchoine (0.8mg/kg). [WT5HZ]