摘要
静脉滴注普鲁卡因在国内静吸复合麻醉中仍有应用，目前国内对此方法实施有不同认识。本文将２１例ＡＳＡⅠ～Ⅱ级手术病人分为两组，将吸入安氟醚伍用普鲁卡因组与仅用安氟醚麻醉组相对照。对普鲁卡因在全麻中的功效及对术后清醒的影响进行了探讨。结果在吸入安氟醚伍用普鲁卡因的实施过程中，减少了吸入药用量，降低了吸入药的ＭＡＣ及呼气末肺泡浓度，缩短了从术终到拔除气管导管的时间，提高了清醒质量，两组差异有极显著性意义（Ｐ＜０．０１）。搭配设计考虑伍用普鲁卡因时只要严格掌握滴注速率（≤１ｍｇ·ｋｇ－１／ｍｉｎ），就可避免毒性反应及副作用，从而显示出伍用的一定优越性。
To evaluate the role of procaine played in intraveneus inhalational balanced anesthesia, 21 ASAⅠ～Ⅱ surgical cases were divided into two groups to compare the efficacy of intravenous dripping procaine and the quality of postoperative awakening in group Ⅰ (procaine iv with enflurane inhalation) with that in group Ⅱ (enflurane inhalation only). Results show that in the procaine group, the amount of enflurane used and its MAC as well as the appropriate expiratory end alveolar concentration were all decreased; the time from the end of operation to extubation was shortened and the postoperative awakening was better(P<0 01). The usefulness of procaine balanced anesthesia depends upon how the anesthesia plan bing made. Appropriate control of intravenous procaine infusion (<1mg·kg -1 min) could be free of adverse toxic effects of procaine.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
1996年第6期304-306,共3页
Journal of Clinical Anesthesiology
关键词
安氟醚
普鲁卡因
复合麻醉
Enflurane Procaine Balanced anesthesia
