丙泊酚-瑞芬太尼或丙泊酚-芬太尼TCI用于门诊乳腺手术麻醉的临床研究被引量：2

导出

摘要目的：探讨丙泊酚-瑞芬太尼和丙泊酚-芬太尼TCI麻醉用于门诊乳腺手术麻醉的可行性。方法：将44例门诊单纯行乳腺肿瘤切除患者（ASAⅠ~Ⅱ级）随机分为丙泊酚-瑞芬太尼TCI组（PR组,n=22）和丙泊酚-芬太尼TCI组（PF组n=22）。两组病人TCI时丙泊酚效应室浓度4.0μg/mL、瑞芬太尼或芬太尼效应室浓度3ng/mL。监测并记录相关指标。结果：两组麻醉方案病人意识消失时间、喉罩置入条件及围术期血液动力学无差异（P〉0.05）,两组麻醉后并发症的发生情况相似（P〉0.05）。但PR组拔除喉罩时间、离开PACU时间较PF组明显缩短（P〈0.05）,PR组喉罩拔除后即刻OAA/S评分较明显高于PF组（P〈0.05）。结论：与丙泊酚复合芬太尼靶控输注麻醉相比,丙泊酚复合瑞芬太尼靶控输注更符合门诊手术麻醉的要求。

作者许建丽

机构地区隆回县中医院

出处《亚太传统医药》 2011年第5期92-93,共2页 Asia-Pacific Traditional Medicine

关键词丙泊酚瑞芬太尼芬太尼靶控输注麻醉

分类号 R826.24 [医药卫生—临床医学]

引文网络
相关文献

参考文献4

1KAPILA A,GLASS PSA,JACOBS JR, et al. Measured context-sensitive half-time of remifentanil and alfentanil[J].Anesthesiology, 1995,83:968-975.
2MINTO CF, SCHNIDER T W, EGAN TD. Influence of age and gender on the pharmacokineties and pharmacodynamics of remifentanil, l : model development[J]. Anesthesiology, 1997, 86:10-23.
3SREEVASTAVA LCD, BHARGAVA CA. Remifentanil hydrochloride:an Opioid for the 21st Century[J]. MAP1, 2004,60:177 -178.
4米卫东,刘靖,张宏.脑电BIS与听力诱发电位指数AAI用于麻醉恢复期意识监测性能的比较[J].解放军医学杂志,2005,30(1):37-39. 被引量：3

二级参考文献10

1Iselin-Chaves IA, Moalem HEEI, Gan TJ et al. Changes in the auditory evoked potentials and the bispectral index following propofol or propofoland alfentanil. Anesthesiology, 2000, 92:1300.
2Litvan H, Jensen EW, Revuelta M etal. Comparison of auditory evoked potentials and the A-line ARX index for monitoring the hypnotic level during sevoflurane and propofol induction. Acta Anaesthesiol Scand,2002, 46:245.
3Wessen A, Persson PM, Nilsson A et al. Concentrationeffect relationships of propofol after total intravenous anesthesia. Anesth Analg, 1993,77 : 1000.
4Vuyk J, Engbers FHM, Lernmens HJM et al. Pharmacodynamics of propofol in female patients. Anesthesiology, 1992, 77:3.
5Roberts FLR, Dixon J, Lewis GTR et al. Induction and maintenance of propofol anaesthesia. Anaesthesia, 1988, 43:S14.
6Jensen EW, Nygaard M, Henneberg SW. (ha-line analysis of middle latency auditory evoked potentials (MLAEP) for monitoring depth of anaesthesia in laboratory rats. Med Eng Phys, 1998, 20:722.
7Mantzaridis H, Kenny GNC. Auditory evoked potential index, a quantitative measure of changes in auditory evoked potentials during general anaesthesia. Anaesthesia, 1997, 52:1030.
8Gajraj RJ, Doi M, Mantzaridis H et al. Analysis of the EEG bispectrum,auditory evoked potentials and the E'EG power spectrum during repeated transitions from consciousness to unconsciousness. Br J Anaesth, 1998,80,46.
9Absalom AIR, Sutcliffe N, Kermy GNC. Effects of the auditory stimuli of an auditory potential system on level of consciousness, and on the bispectral index. BrJ Anaesth, 2001, 87:778.
10米卫东,张宏.芬太尼血浆浓度对麻醉清醒时异丙酚浓度及脑电双频指数的影响[J].中华麻醉学杂志,1999,19(3):134-136. 被引量：6