麻醉机有效性安全性临床评价  

Clinical evaluation on effectiveness and security of anesthesia machine during operation

作　　者：黄爱兰[1] 秦岭[1] 马利[1] 莫志江[1] 朱蔚琳[1] 黄雪梅[1] 

机构地区：[1]广西壮族自治区人民医院,广西南宁530021

出　　处：《现代医药卫生》2010年第5期648-650,共3页Journal of Modern Medicine & Health

基　　金：广西卫生厅自筹经费项目(Z2008082)

摘　　要：目的:建立麻醉机有效性与安全性的评价体系,探究其可行性。方法:选择106例全麻病人,随机分为实验组(使用试验麻醉机)和对照组(使用Drager Fabius麻醉机),比较两组通气合格率、异丙酚用药量、呼吸参数变化情况,以及术后并发症等指标综合评价。结果:(1)两组的通气功能合格率分别为96.08%和98.04%;异丙酚用量分别为(7.76±3.36)mg/kg和(8.21±3.81)mg/kg;两组比较差异无统计学意义(P>0.05)。(2)两组病人麻醉机预设潮气量和实际潮气量、预设呼吸次数和实际呼吸次数相对偏差组内、组间比较及方差分析无统计学意义。两组平均气道峰压走势一致,95%置信区间均在正常范围。(3)术后两组病人未发现与麻醉机有关严重并发症。结论:试验麻醉机在有效性上不差于Drager Fabius麻醉机,在安全性方面与Drager Fabius麻醉机无明显差异。此评价方法科学可靠。Objective：To eslablish an evaluation system to evaluate the effectiveness and security of anesthesia machine by using multiple clinical parameters and to explore its feasibility. Methods： 106 patients were randomly assigned into the experimental group（using testing anesthesia machine） and the control group （using Dr？ger Fabius anesthesia machine）.To calculate and compare qualified rate and the consumption of propofol in two group＇s mechanical ventilation.The changes of inspiratory parameters, as well as the incidence of pneumonic complication were also compared.Results： In two groups,the mechanical ventilation qualified rates were 96.08% vs 98.04%, and the consumptions of propofol were 7.76±3.36mg/kg vs 8.21±3.81 mg/kg.There was no significant difference （P〉0.05）. Relative devia- tion of presupposition tidal volume and real measured tidal volume, presupposition respiratory frequency and real measured respiratory frequency had no statistical difference.With analysis of variance,two groups＂ peak inspiratory pressure had significant difference（P〈0.05）, but they had same trend ,their 95% confidence intervals were in normal range.There were no severe complications during anesthesia. Conclusion：The testing anesthesia machine is not inferior to Drager Fabius anesthesia machine in effectiveness,and possesses the same safety.The evaluation system is scientific and dependable.

关 键 词：麻醉机 有效性 安全性 评价体系 

分 类 号：R614[医药卫生—麻醉学]