依托咪酯复合瑞芬太尼全麻用于腹部手术的临床观察  

Clinical observation of etomidate and remifentanil anesthesia for abdominal surgery

作　　者：宋俊岭[1] 

机构地区：[1]郑州市中心医院麻醉科,郑州450007

出　　处：《医药论坛杂志》2011年第20期41-42,共2页Journal of Medical Forum

摘　　要：目的探讨依托咪酯复合瑞芬太尼全麻用于腹部手术的麻醉效果。方法选择郑州市中心医院2008年1月至2010年1月住院行腹部手术的患者70例作为研究对象,70例患者随机分为两组,观察组35例,采用依托咪酯复合瑞芬太尼全麻用于腹部手术,对照组35例,采用依托咪酯复合芬太尼。观察比较两组麻醉前、麻醉30分钟时MBP、HR、SpO2的变化情况。结果两组麻醉前MBP、HR、SpO2比较,差异无显著性(P>0.05);两组麻醉后30min,MBP、HR、SpO2比较,均较麻醉前有显著改变(P<0.05),且两组组间比较,经统计学分析,差异也有统计学意义(P<0.05)。结论依托咪酯复合瑞芬太尼麻醉用于腹部手术麻醉效果好,MBP、HR、SpO2指标改善明显。Objective To investigate the effect of etomidate and remifentanil anesthesia for abdominal surgeryation.Methods Select January 2008-January 2010 hospitalization abdominal surgery 70 patients for the study,70 patients were randomly divided into two groups： observation group of 35 were treated with etomidate,remifentanil whole anesthesia for abdominal surgery,the control group 35 cases,with etomidate,fentanyl.Observd and compard the two groups before anesthesia,anesthesia 30 minutes MBP,HR,SpO2 changes.Results The two groups before anesthesia MBP,HR,SpO2,the difference was not significant（P0.05）;The two groups after anesthesia for 30 minutes,MBP,HR,SpO2 relatively higher than those before anesthesia,a significant change（P0.05）,and between the two groups,were statistically analyzed,differences were statistically significant（P0.05）.Conclusions Etomidate remifentanil anesthesia for abdominal surgery anesthesia well,MBP,HR,SpO2 were remarkable improvements.

关 键 词：依托咪酯 瑞芬太尼 腹部手术 全麻 

分 类 号：R614.2[医药卫生—麻醉学]