摘要
目的探讨丙泊酚联合顺式阿曲库铵在喉罩通气全麻下用于纤支镜检查的安全性。方法根据麻醉用药的不同,将行纤支镜检查的96例患者分成丙泊酚联合顺式阿曲库铵组(A组)50例和丙泊酚联合瑞芬太尼组(B组)46例,比较两组的起效时间、肌松恢复指数以及并发症的发生情况。结果两组药物起效时间无明显差异(P>0.05);A组并发症发生率低于B组,肌松恢复指数明显高于B组,两组比较,差异均有统计学意义(P<0.05)。结论丙泊酚联合顺式阿曲库铵应用于喉罩通气全麻下纤支镜检查能提高肌松恢复指数,可减少并发症发生,值得推广。
Objective To investigate the safety of propofol combined with cis-atracurium in the examination of fiberobronchoscopy under general anesthesia of laryngeal mask airway. Methods According to different anesthetic drugs,96 patients planed to receive fiberobronchoscopy examination were divided into group A（ 50 cases） and group B（ 46 cases）. Patients of group A were given propofol combined with cisatracurium,and patients of group B were given propofol combined with remifentanil. The onset time of,muscle relaxation recovery index and the incidence of complications of the two groups were compared. Results There was no significant difference between the onset time of anesthesia of the two groups（ P〈0. 05）; the incidence rate of complications of group A was lower than that of group B,and muscle relaxation recovery index was significantly higher than that of group B, the differences were statistically significant（ P 0. 05）.Conclusion Propofol combined with cis-atracurium using in the examination of fiberobronchoscopy under general anesthesia of laryngeal mask airway can improve muscle relaxation recovery index,and reduce the occurrence of complication. It＇s security and worthyto popularize.
出处
《微创医学》
2016年第4期499-501,共3页
Journal of Minimally Invasive Medicine
基金
广西壮族自治区科技厅项目(编号:Z2014678)
关键词
丙泊酚
顺式阿曲库铵
纤支镜
Propofol
Cis-atracurium
Fiberobronchoscopy
