摘要
目的:通过对芬太尼和舒芬太尼应用于冠状动脉旁路血管移植术(OPCABG)的安全性、术后清醒时间和拔除气管导管时间的比较,了解舒芬太尼对于OPCABG是否较芬太尼更具优势。方法:拟择期行OPCABG病人40例,年龄40～70岁,体重50～90kg,美国麻醉医师协会(ASA)病情分级Ⅱ～Ⅲ级,随机分为舒芬太尼组(观察组,n=20)和芬太尼组(对照组,n=20)。2组均记录手术时间、术后清醒时间、气管导管拔除时间。结果:2组病人术中血流动力学变化平稳且相似,但清醒时间和气管导管拔除时间差异具有显著性意义。结论:舒芬太尼用于OPCABG安全平稳,术后病人清醒时间和气管导管拔除时间均明显短于芬太尼组,可作为快通道麻醉的首选药物之一。
Objective： Abstract： Objective： The aim of this study was to investigate the hemodynamic effects of Sufentanil-based and Fentanyl-based technique for Off-Pump Coronary Artery Bypass Grafting （OPCABG） , through safety, extubation time and awake time to understand if Sufentanil is better than Fentanyl. Methods：40 patients underwent OPCABG,with ages from 40 - 70 years, body weight 50 - 90 kg, ASA Ⅱ-Ⅲ grade were randomly divided into Sufentanil group （n = 20） and Fentanyl group （n = 20）. Operation time,extubation time and awake time were recorded. Results：Dynamic changes in blood flow and clinical characteristics were similar between the two groups. All patients were safely transferred to ICU,and extubated after awake without＇re-extubation. Hemodynamic stability was obtained in both groups. There was significant difference in extubation time and awake time between the two groups,they were much shorter in Sufentanil group. Conclusion： Sufentanil has some advantage in OPCABG,it can be choosed first in fast track anesthesia.
出处
《临床误诊误治》
2007年第9期3-4,5,共3页
Clinical Misdiagnosis & Mistherapy
