小剂量丙泊酚对心脏术后围拔管期心血管反应的研究  

The study of low dose propofol on cardiovascular responses of patients with cardiac surgery during tracheal extubation

作　　者：邹晓霞[1] 刘春燕[1] 孙英娜[1] 刘红敏[1] 李天民[1] 

机构地区：[1]威海市立医院,264200

出　　处：《国际护理学杂志》2011年第8期1130-1132,共3页international journal of nursing

基　　金：威海市科技局科学技术攻关计划（2010-3-86-3）

摘　　要：目的研究小剂量丙泊酚对心脏术后围拔管期心血管反应的影响。方法将60例心脏手术患者随机分为两组。试验组拔除气管插管前给予丙泊酚0．5mg／kg静脉注射。比较两组患者拔管前10min、拔管时、拔管后10min心率、血压值，拔管前10min与拔管后30min查血气分析所得PaCO2值。结果试验组与对照组进行比较发现，HR、SBP、NBP在两组间具有统计学差异，PaCO。无统计学差异。结论小剂量丙泊酚可以减轻心脏手术围拔管期心血管反应且不会引起呼吸抑制。Objective To study the effect of low dose propofol on cardiovascular responses of patients with cardiac surgery during tracheal extubation. Methods A total of 60 patients with cardiac surgery were selected and divided into two groups randomly. Experimental group was treated with propofol intravenous injection before tracheal extubation. Heart rate , the values of blood pressure and PaCO2 were measured at the time of pre - intubating, extubation and post - intubating. Results There was statistically signitleant differences between experimental group and control group with HR, SBP and NBP, but with PaCO2 no difference. Conclusions Using low dose propofol can relieve cardiovascular responses of patients with cardiac surgery during tracheal extubation without respiratory inhibition.

关 键 词：丙泊酚 心脏外科手术 围拔管期 心血管反应 

分 类 号：R654.2[医药卫生—外科学]