艾司洛尔和硝酸甘油用于腹腔镜术中控制性降压的比较  

The Comparison Between Esmolol and Nitroglycerin on Depcompression in laparoscopy

作　　者：张涵[1] 

机构地区：[1]崇州市人民医院,四川成都611230

出　　处：《现代临床医学》2011年第5期330-331,共2页Journal of Modern Clinical Medicine

摘　　要：目的:比较艾司洛尔和硝酸甘油用于腹腔镜手术中控制性降压的效果。方法:选择40例择期拟行腹腔镜手术患者,ASAⅠ～Ⅱ级,随机分为2组,每组20例。艾司洛尔组选用艾司洛尔,硝酸甘油组选用硝酸甘油。均以负荷量+持续剂量方式进行术中控制性降压。结果:艾司洛尔组降压效果明显强于硝酸甘油组(P<0.05);艾司洛尔组降压开始HR保持不变或稍减慢,各时点HR慢于硝酸甘油组(P<0.01)。结论:腹腔镜手术中控制性降压艾司洛尔好于硝酸甘油。艾司洛尔用于腹腔镜手术中控制性降压效果满意,不良反应少,值得推广。Objective:To compare esmolol with nitroglycerin on the depcompression in laparoscopy.Methods:Analysed 40 patients who accepted laparoscopy and were divided into two groups,20 in each group,class ASAⅠ-Ⅱ.Both Group A using esmolol and Group B using nitroglycerin had depcompression with load capacity and continuous dose.Results:The effect of Group A was better than Group B(P<0.05).When the decompression of Group A began,HR stayed or slowed.HR was slower than that of Group B(P<0.01) at any time.Conclusion:The effect of esmolol is better than nitroglycerinon on decompression in laparoscopy.esmolol is popular because it has good result.

关 键 词：艾司洛尔 硝酸甘油 腹腔镜 控制性降压 

分 类 号：R619+.9[医药卫生—外科学]