| 摘要: |
| [摘要]：目的 观察靶控输注丙泊酚瑞芬太尼复合米库氯铵的快通道麻醉在支撑喉镜手术中的临床应用效果。方法 择期成人声带息肉摘除手术患者60例，ASAⅠ～Ⅱ级，随机分为观察组和对照组各30例。观察组采用靶控输注丙泊酚瑞芬太尼复合米库氯铵全凭静脉麻醉。对照组采用丙泊酚舒芬太尼复合罗库溴铵麻醉。监测两组麻醉前（T0）、插管前（T1）、导管固定后（T2）、支撑喉镜放置后（T3）、撤除喉镜后（T4）、出麻醉恢复室（PACU）（T5）的平均动脉压（MAP）、HR，记录手术时间、麻醉时间、拔管时间、PACU观察时间、PACU内Riker镇静躁动评分。结果 与同组T0相比， T1，T2的MAP、HR均明显下降（P﹤0.05）；与同组T1，T2，T4相比，T3的MAP、HR显著降低（P﹤0.05）；不同时间点MAP、HR水平两组相比差异无统计学意义（P＞0.05）；观察组的拔管时间与PACU观察时间均早于对照组（P﹤0.05），两组麻醉时间与手术时间相比较差异无统计学差异（P＞0.05）。结论 丙泊酚瑞芬太尼靶控输注复合米库氯铵的快通道麻醉用于支撑喉镜下声带息肉摘除术时血流动力学相对稳定，病人术后苏醒较为迅速。 |
| 关键词: 快通道麻醉 丙泊酚 瑞芬太尼 米库氯铵 支撑喉镜 |
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| Effect evaluation of intravenous fast-tracking anesthesia in vocal cord polypectomy under suspension laryngoscopeXIE Ran,ZHANG Huan,YUE Fang-li,WANG Jin-xuan,JI Fan-ceng, |
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xieran
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Department of anesthesiology,Wei Fang Medical University
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| Abstract: |
| Abstract: Objective: To observe the clinical effect of intravenous fast- tracking anesthesia using target-controlled infusion(TCI) with propofol and remifentanil combined with mivacurium in patients undergoing laryngoscope surgery.Methods: 60 patients（ASA I – II） were randomly divided into study group and control group,30 cases in each group．The patients in study group anesthetized with Target-controlled infusion of propofol, remifentanil and mivacurium,were prepared for vocal cord polyps under the laryngoscope. The patients in control group anesthetized with propofol ,sufentanil and rocuronium.Monitored the SBP、DBP、MAP、HR before the anesthesia (T0), before intubation (T1), after endotracheal intubation (T2),placed in suspension laryngoscopy (T3),remove the laryngoscope(T4),leave PACU(T5).Meanwhile,operative time, anesthesia time,extubation time, residence time in PACU,sedation-agitationscale scores in PACU were recorded. Results: Compared with T0 in both groups, The MAP and HR of T1 and T2were significant differences (P <0.05). Compared with T1, T2 and T4 of the same group, the MAP and HR of T3 were significantly decreased (P<0.05);The different time of MAP and HR in both groups were not significantly different(P＞0.05). The extubation time and residence time in PACU of study group were significantly lower than the control group (P<0.05). The anesthesia time and the operative time in both groups were not different from eachother (P＞0.05).Conclusion: Target-controlled infusion with propofol,remifentanil and mivacurium is relatively stable in patients undergoing laryngoscopic polypectomy,which can inhibit the hemodynamic changes and recovery rapidly. |
| Key words: Fast-tracking anesthesia Propofol Remifentanil Mivacurium Suspension laryngoscope |
