七氟醚和丙泊酚麻醉在无抽搐电休克治疗中的应用被引量：1

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摘要目的研究七氟烷和丙泊酚对无抽搐电休克疗法患者血液流变学、发作持续时间和恢复的影响。方法66例病人随机分为2组（S组和P组）：S组病人用含8％七氟醚的100％氧气麻醉诱导，流速为4L／min；P组病人用2．0mg／kg丙泊酚诱导。全麻诱导后静注1．2mg／kg氯化琥珀胆碱。记录病人的非创伤性MAP、HR、SpO2、诱导时间、发作持续时间和恢复时间。结果2组患者麻醉后HR较麻醉前有所下降，但差异无统计学意义；MECT即刻HR和MAP较麻醉前明显升高（P〈0．05）。麻醉前后SpO2无明显变化。S组入睡时间、睫毛反射消失时间明显升高，较P组相比，P〈0．05；2组癫痫发作时间差异无统计学意义（P〉0．05）。结论两种麻醉方法均能满足MECT的要求，七氟醚无注射痛苦，是MECT麻醉较好的选择。

作者张柏银钱自亮张亦文李峰

机构地区湖南省脑科医院麻醉科

出处《中国医师杂志》 CAS 2009年第10期1413-1414,共2页 Journal of Chinese Physician

关键词醚类/投药和剂量二异丙酚/投药和剂量电惊厥疗法/方法

分类号 R614 [医药卫生—麻醉学]

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