摘要
目的分析不同剂量舒芬太尼在全麻诱导对心率变异性和脑电双频指数的影响。方法回顾分析我院2009年1～12月间的30例应用舒芬太尼复合异丙酚全身麻醉患者的临床资料。结果各组气管插管操作均在1min内完成,均未见胸壁肌肉僵直发生。Ⅰ～Ⅲ组基础值比较均无明显差异;各组在麻醉诱导后各观察时点的脑电双频指数(BIS)值均低于基础值。插管前和插管即刻和插管后1、3、5minⅢ组BIS值均明显低于I组。术后随访病人均无术中知晓。诱导和插管期间各组心率变异性(HRV)无明显变化。结论不同剂量的舒芬太尼对气管插管引起血流动力学改变有差别,0.5～1.0μg/kg舒芬太尼更适合临床麻醉诱导。
Objective Analyse the effect that Shurentaini guides different from dosages in entire hemp to pulses deviancy and the brain electricity pair of frequency exponent.Methods Analytical 30 example application Shurentaini compound of my yard room in January,2009 in December,2009 of retrospect is different third phenol clinical data of general anaesthesia patient.Results The plunging tube handles every air tube of group not seeing that chest wall muscle is stiff without exception be completed,equal within l min happen.Ⅰ ～ Ⅲ group basis value has no obvious difference comparatively without exception;The BIS value that every puts set when observing respectively after anaesthetizing guidance is lower than basis value equally.Last 1,3,5 min Ⅲ the plunging tube prepares a plunging tube in the front preparing a plunging tube immediately,group BIS value is lower than the I group without exception obviously.The queen is aware of a skill in follow-up disease nothing per capita skill.During guidance and the plunging tube,every group HRV has no obvious change.Conclusion Shurentaini who is unlike dosages arouses blood flow Mechanics to air tube plunging tube change have a difference,0.5～1.0μg/kg Shurentaini is fit to anaesthetize guidance clinically more.
出处
《中外医疗》
2010年第20期43-44,共2页
China & Foreign Medical Treatment
关键词
舒芬太尼
麻醉诱导
血流动力学
Shurentaini
Anaesthetize guidance
Blood flow Mechanics
