微泵输注双异丙酚用于全麻诱导插管  

Infusing Propofol by Syringe Pump in Anesthesia Induction

作　　者：蔡建荣[1] 林一雄[1] 许德明[1] 黄俊风[1] 

机构地区：[1]莆田学院附属医院,福建莆田351100

出　　处：《莆田学院学报》2007年第5期48-50,共3页Journal of putian University

摘　　要：观察微量推注泵输注双异丙酚在全麻诱导插管期间脑电双频谱指数(BIS)和血液动力学的变化。把40例择期行腹部手术病人随机分成2组,每组各20例,Ⅰ组为老年人组,Ⅱ组为成年人组。结果表明:两组病例气管插管前及气管插管后BIS、SBP、DBP及RPP均较麻醉诱导前低(P!0.01),两组间气管插管前及气管插管后BIS、SBP、DBP及RPP变化差异无统计学意义;麻醉诱导期间的心率变化各参数差异无统计学意义。微量推注泵静脉输注国产双异丙酚复合咪达唑仑、拘橼酸芬太尼和罗库溴铵用于全麻诱导插管,不论在成年人或老年人均可维持足够的麻醉深度,并可减轻或消除气管插管时心血管的不良反应。Objective： To observe the bispectral index and hemodynamic changes with infusing propofol by Syringe pump during anesthesia induction and intubation. Methods： Forty patients undergoing elective abdominal surgery, were divided randomly into two groups, old people （ group I, n = 20 ） and young people （ group II, n = 20 ）. Results： BIS, SBP,DBP and RPP levels in both groups at pre-intubation and post-intubation were significantly lower than in pre-anesthesia, there were insignificantly between pre-intubation and post-intubation （ P〈0.01 ）. HR changes were insignificantly during anesthesia induction. Conclusions： anesthesia was induced following intravenous midazolam, fentanyl, rocuronium combined with propofol by syringe pump. It can get enough anesthesia depth and relieve cardiovascular adverse reaction with tracheal intubation, whether in young or old people.

关 键 词：微量推注泵 双异丙酚 麻醉诱导 脑电双频谱指数 血液动力学 

分 类 号：R614[医药卫生—麻醉学]