芬太尼、舒芬太尼复合异丙酚诱导喉罩插入条件的影响  

Clinical Observation of Laryngeal Mask Ventilation with Sulfentanyl Combined Propofol

作　　者：单靖华[1] 孙能宏[2] 王德伟[1] 

机构地区：[1]潍坊医学院附属医院麻醉科,山东潍坊261031 [2]潍坊医学院附属潍坊市人民医院麻醉科

出　　处：《潍坊医学院学报》2008年第3期246-247,共2页Acta Academiae Medicinae Weifang

摘　　要：目的在短小手术中,比较舒芬太尼复合异丙酚或芬太尼复合异丙酚诱导时,对喉罩(LMA)插管条件的影响。方法60例行短小手术病人,随机分为舒芬太尼-异丙酚全凭静脉麻醉组(S组)和芬太尼-异丙酚TIVA组(F组),静注舒芬太尼0.7μg/kg(S组)或芬太尼5μg/kg(F组),异丙酚2mg/kg诱导,插入LMA。评定置入LMA条件的指征包括:张口度、恶心、呛咳、体动和总体条件。结果S组有3例出现恶心、呛咳、体动,F组9例出现恶心、呛咳、体动,两组相比,差异均有显著性(P<0.05)。结论与5μg/kg芬太尼相比,0.7μg/kg舒芬太尼复合异丙酚诱导,能提供较好的LMA插入条件。Objective To compare the inserting condition of LMA in minor surgery with Sulfentanyl combined propofol or fentanyl combined propofol. Methods Sixty patients undergoing elective minor surgeries were randomly divided into 2 groups ： Sulfentanyl combined propofol total intravenous anesthesia group （ group S ） and fentanyl combined propofol group （ group F ）. Sulfentanyl 0.7 μg/kg iv. （ group S ） or fentanyl 5 μg/kg iv. （ group F ）, combined propofol 2mg/kg respectively,inserted LMA. Results There were 3 occur nausea bucking and restlessness in group S, group F had 9, there were sign different between group S and F （ P 〈 0.05 ）. Conclusion Induction with 0.7 μg/ kg Sulfentanyl combined propofol, could provide the better inserting condition of LMA.

关 键 词：喉罩 二异丙酚 舒芬太尼 芬太尼 

分 类 号：R614[医药卫生—麻醉学]