瑞芬太尼复合异丙酚静脉麻醉在危重病人纤维支气管镜检查时的应用  

Clinical application of intravenous anesthesia with remifentanil combined propofol in intensive patients accepted bronchofiberoscopy examination

作　　者：孔祥臣[1] 魏兴山[1] 

机构地区：[1]河南省焦作煤业集团中央医院呼吸科,焦作454150

出　　处：《中原医刊》2008年第6期37-38,共2页Central Plains Medical Journal

摘　　要：目的 观察瑞芬太尼复舍异丙酚静脉麻醉在危重病人纤维支气管镜检查中的效果。方法先用瑞芬太尼1 μg/kg、异丙酚1．5mg／kg静脉推注，病人入睡后，按瑞芬太尼0．05～0．15μg/（kg·min）滴速维持麻醉。结果31例重症病人进行了纤维支气管镜检查和治疗，全部置管顺利，无喉痉挛，自主呼吸良好，血压心率平稳。停麻醉药后5min内苏醒。结论瑞芬太尼复合异丙酚静脉麻醉用于危重病人的纤维支气管镜检查是一种比较安全的麻醉方法，其作用快、效果好、半衰期短、苏醒后无兴奋现象。Objective To observe the effects of the intravenous anesthesia with remifentanil combined propofol in intensive patients treated by bronchofiberoscopy. Methods The patients were used intravenous injection with remifentanil in 1 μg/kg and propofol 1.5 mg/kg, then were needed with remifentanil in 0.05 - 0. 15 μg/（kg . min） maintains after induction. Results Thirty -one intensive patients were treated by bron- chofiberoscopy, placed the tube all smooth, had no spasm of throat, the independent breath were good, the blood pressure and heart rate were steady, waking up were appeared on 5 minutes after discontinue anesthesia. Conclusion The intravenous anesthesia with remifentanil combined propofol for examination of bronchofiberoscopy in intensive patients, the action is quickly and effectively, the half- life period is short and have no excitophenomenon after waking up, is a safely anesthesia method.

关 键 词：瑞芬太尼 异丙酚 麻醉 纤维支气管镜 

分 类 号：R768.1[医药卫生—耳鼻咽喉科] R473.6[医药卫生—临床医学]