喉显微手术麻醉方法的探讨  

An exploration of anesthesia mathod for laryngeal microsurgery

作　　者：廖和国[1] 葛春林[1] 闫良根[1] 朱琳琳[1] 

机构地区：[1]安徽省蚌埠市第一人民医院麻醉科,233000

出　　处：《淮海医药》2000年第4期256-257,共2页Journal of Huaihai Medicine

摘　　要：目的　探讨喉显微手术较理想的麻醉方法。方法　９６例患者分两组，采用不同的镇静药和肌松药，间断正压通气，术中监测血压、脉搏、心电图及氧饱和度。结果　Ｉ组患者术中血压、脉搏波动及心血管反应明显，Ⅱ组较平稳，与 Ｉ组比较差异显著（Ｐ＜ ０． ０５）。麻醉恢复情况组Ⅱ组较Ｉ组清醒快。术中及术毕全组氧饱和度（ＳＰＯ２）均＞９７％。结论　芬太尼、异丙酚及哌库溴胺加间断正压通气是喉显微手术较理想的麻醉方法。Objective To explore an ideal anesthetic method of laryngeal microsurgery. Methods Ninety six cases were divided into two groups and each group was given different sedative and muscle relaxant. Blood pressure, pulse, ECG and SPO2 were monitored during operation. Results Changes of blood pressure, pulse and cardiovascular response in group I were striking. group II was more smooth. The differences between group I and II were significant(P<0. 05). Patients in group II had awaked more rapidly than that in group I. SPO2 in the two group was over 97% during and after operation. Conclusion Fentynl, Dipprivan and Pioecuronium combined with IPPB was an ideal anesthetic method for largngeal microsurgery.

关 键 词：麻醉 喉 显微手术 

分 类 号：R767.91[医药卫生—耳鼻咽喉科] R614.2[医药卫生—临床医学]