瑞芬太尼减轻依托咪酯注射肌震颤的临床观察  

Remifentanil in Alleviating Amyostasia Caused by Etomidate Injection：A Clinical Observation

作　　者：祝劲松[1] 李曦[1] 韩徐[1] 邹小华[1] 

机构地区：[1]贵阳中医学院第一附属医院麻醉科,贵州贵阳550001

出　　处：《医学新知》2014年第2期101-102,104,共3页New Medicine

摘　　要：目的：观察小剂量瑞芬太尼静脉预先注射能否减轻依托咪酯脂肪乳注射引起的肌震颤。方法将门诊80例做胃肠镜患者分为瑞芬太尼0.2μg/ kg 组、0.4μg/ kg 组、0.6μg/ kg 组和生理盐水组，然后注射诱导用量的依托咪酯0.2 mg/ kg。结果瑞芬太尼0.4μg/ kg 组可降低依托咪酯脂肪乳肌震颤的发生，并对血压、心率及呼吸影响小。结论静脉预先注射瑞芬太尼可降低依托咪酯脂肪乳引起的肌震颤。Objective To observe whether Pre - injection of small dose of remifentanil can alleviate amyostasia caused by etomidate. Methods 80 Patients undergoing gastrointestinal endoscoPy were divided into 0. 2 μg/ kg remifentanil grouP,0. 4 μg/ kg remifentanil grouP,0. 6 μg/ kg remifentanil grouP and normal saline grouP. Then 0. 2 mg/ kg etomidate was injected. Results 0. 4 μg/ kg remifentanil could alleviate amyostasia caused by etomidate. It had the least effect on blood Pressure,heart rate and breathe. Conclusion Pre - injection of remifentanil can alleviate amyostasia caused by etomidate.

关 键 词：静脉内注射 肌震颤 依托咪酯 瑞芬太尼 

分 类 号：R614.24[医药卫生—麻醉学]