摘要
【目的】探讨应用瑞芬太尼加丙泊酚麻醉辅助内镜下镍钛记忆合金支架置入术治疗食道疾病的麻醉效果。【方法】选择ASAⅢ～Ⅳ级食道疾病 30例分组比较。A组 15例 ,静注芬太尼 0 .5 μg/kg ,丙泊酚用量～ 1mg/kg ,必要时追加 10～ 2 0mg。B组 15例 ,静注瑞芬太尼 0 .5 μg/kg ,丙泊酚用量与A组相同。观察比较两组麻醉效果、生命体征和不良反应。【结果】两组病例麻醉效果均满意 ,生理参数两组之间相比较无显著差异 ,但A组苏醒时间明显长于B组。【结论】瑞芬太尼与芬太尼合用丙泊酚均可为门诊内镜治疗手术提供较好的麻醉和镇痛效果 ,但瑞芬太尼停止输注后作用消退时间比芬太尼快 ,更有利于此类病人的早期恢复。
ObjectiveTo compare the anesthetic effects of remifentanil plus propofof in nicked-titanium shape memory alloys under endoscope for esophageal diseases.Thirty cases with ASA of degree 3 to 4 were selected and divided into two groups,15 cases each.The cases in group A received intravenous injection of 15 ug/kg fentanil plus 0.5mg/kg propofol or with a supplementation of 10～20mg propofol when necessary.The cases in group B received 15ug/kg remifentanil plus the same dosage of propofol as in group A.All the patients in the two groups were observed for anesthetic effect,vital signs and ill-effects.A satisfactory anesthetic effect was reached in all the cases;there was no significant difference in physiological parameters between the two groups.But wakening time in group A was obviously longer than in group B.[Conclusion]Remifentanil or Fentanil plus Propofol can provide a satisfactory anesthetic and analgesic effect for endoscopic operations in outpatient Department.But the action of remifentanil disappears quicker than fentanil,which consequently helps the patients recover earlier.
出处
《医学临床研究》
CAS
2005年第1期35-37,共3页
Journal of Clinical Research
