摘要
目的 探讨丙泊酚序贯给药方式对全麻后苏醒质量的影响。方法 4 8例 ASA ～ 级经腹手术成人患者 ,实施气管内全麻 ,按麻醉维持用药和方法的不同随机分成三组 :全丙泊酚、全异氟醚和异氟醚 -丙泊酚序贯给药组。监测从麻醉停药至拔管后 30 min期间 ,SBP、HR、Sp O2 和血糖水平 ,评价麻醉后苏醒、呼吸、循环和精神状况及不良反应和并发症。结果 序贯给药组拔管后 15 min内 ,SBP、HR、Sp O2 更平稳 (P<0 .0 5 ) ,苏醒评分明显高于另两组 (P<0 .0 5 ) ,且恶心呕吐、寒战和躁动等不良反应明显低于异氟醚组。结论 丙泊酚序贯给药可改善全麻后苏醒质量 ,减少不良反应。
Objective To study the effect of sequential propofol administration on recovery quality after general anesthesia.Methods 48 adult patients (ASA Ⅰ～Ⅲ) underwent laparotomy with endotracheal anesthesia were divided randomly into 3 groups (n=16): P group: total continuative intravenous propofol,Ⅰgroup: total isoflurane inhalation, and I P group: sequential administration of isoflurane propofol. SBP, HR, SPO2 and blood sugar levels from stopping administration of anesthetic to 30 min after extubation were monintored, and recovery state and complications were evaluated simutaneously. Results SBP, HR, SPO2 levels in I P group were more stable than those in the other 2 groups (P<0.05); score of recovery of I P was also markedly higher, and in comparison with total I, I P had fewer nausea, vomiting, shivering and restlessness.Conclusion Propofol sequential administration could improve recovery quality with fewer complications.
出处
《中国误诊学杂志》
CAS
2003年第5期653-654,共2页
Chinese Journal of Misdiagnostics
关键词
丙泊酚
序贯给药
全麻
苏醒质量
麻醉恢复期
Propofol/administration & dosape
Anesthesia,general
Anesthesia recovery period
