不同麻醉药物对患者全麻诱导及苏醒的影响  

Effect of different anesthetics on the induction and consciousness recovery of general anesthesia

作　　者：陈谦[1] 屈惠[1] 吉恩秀[1] 陈英[1] 

机构地区：[1]四川省医学科学院附属医院麻醉科,四川简阳641400

出　　处：《实用医院临床杂志》2009年第3期57-58,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨瑞芬太尼与芬太尼对患者全麻诱导的血流动力学变化及苏醒恢复的影响。方法80例择期胆囊切除手术患者麻醉诱导和麻醉维持分别用瑞芬太尼（R组）或芬太尼（F组）,观察并记录两组患者诱导前、诱导后插管前、插管后5分钟及拔管后5分钟各个时段的血流动力学变化及麻醉苏醒情况。结果两组麻醉诱导后平均动脉压（MAP）、心率（HR）均有下降（P〈0.05）,但组间差异无显著性意义（P〉0.05）;气管插管1-5分钟内血流动力学变化幅度R组明显小于F组,术后苏醒恢复情况R组优于F组（P〈0.05）。结论瑞芬太尼麻醉在气管插管时血流动力学稳定,术后苏醒快,并发症少。Obejective To observe the effect of Remifentanil（R group） and Fentanyl（F group） on hemodynamics situation by the induction and consciousness recovery of general anesthesia.Methods During the anesthetic induction and maintaines,forty cases in each group of 80 cases of cholecystectomy with Remifentanil and Fentanyl were observed on hemodynamics situation and consciousness recovery at different stages,such as before-after induction,5 minutes after intubation,5 minutes after extubation.Results It appeared that average artery pressure（MAP）,heart rate（HR） decreased significantly（P 〈 0.05）.There was no statistical difference between two groups（P 〉 0.05）.R group showed significant less hemodynamic changes and better consciousness recovery than that of F group in 15 minutes after intubation（P 〈 0.05）.Conclusion Remifentanil is working efficiently in terms of hemodynamic stability during the intubation,recovery timing from operation and less complication.

关 键 词：麻醉药物 气管插管 血流动力学 苏醒恢复 

分 类 号：R614.2[医药卫生—麻醉学]