摘要
目的比较七氟醚和丙泊酚全麻喉罩通气在老年患者支气管镜检查中的麻醉效果。方法将2009年7月—2012年12月本院收治的84例接受支气管镜检查的老年患者随机分为七氟醚喉罩组(S组)和丙泊酚喉罩组(P组)。观察并比较2组患者在放置喉罩前(T1)、放置喉罩后即刻(T2)、放置支气管镜后即刻(T3)、拔除喉罩后即刻(T4)、拔除喉罩后30 min(T5)的心率、血压(收缩压/舒张压)、平均动脉压(MVP)、氧饱和度的变化、苏醒状况及围术期不良反应。结果 2组T3的心率较同组其他时刻明显增快(P<0.05),P组收缩压及平均动脉压升高幅度明显大于S组,2组其他时刻的心率、血压波动及血氧饱和度均无明显差异(P>0.05);S组术后苏醒明显快于P组,支气管痉挛发生率明显低于P组,差异有统计学意义(P<0.05)。结论丙泊酚和七氟醚全麻喉罩通气均能保持麻醉过程中的血流动力学稳定,但七氟醚-喉罩吸入麻醉在支气管镜检查中的不良反应更少,更适合于老年患者。
Objective To compare the effect of sevoflurane and propofol combined with laryngeal mask in bronchoscopy examination for gerontal patients. Methods Eighty-four cases hospitalized from July 2009 to Dec. 2012 were divided into group S （sevoflurane combined with laryngeal mask） and group P （propofol combined with laryngeal mask）. The values of heart rate, blood pressure, MVP, oxygen saturation, palinesthesia and adverse reactions at different times（T1, T2, T3, T4, T5） were assessed. Results The HR heightened in both groups at T3, and it was more obvious in group P, but less in group S （P 〈 0.05）. Heart rate, blood pressure change and oxygen saturation of both groups showed no marked difference（P 〉0.05）. In group S, the palinesthesia come much earlier, and the rate of adverse reaction was lower, which showed significant statistical difference （P 〈 0.05 ）. Conclusion Both sevoflurane and propofol combined with laryngeal mask in bronchoscopy examination for gerontal patient can maintain the hemodynamics stable in bronchoscopy, but the sevoflurane combined with laryngeal mask has lower adverse reactions, which is better for gerontal patients.
出处
《实用临床医药杂志》
CAS
2013年第15期138-140,共3页
Journal of Clinical Medicine in Practice
关键词
七氟醚
丙泊酚
喉罩通气
支气管镜
sevoflurane
propofol
laryngeal mask airway
hronchoscopy
