依托咪酯联合丙泊酚麻醉对耳鼻喉科手术患者睁眼时间影响分析  

Analysis of the effect of etomidate combined with propofol anesthesia on the time of eye-opening in patients undergoing ENT surgery

作　　者：孙忠国 Sun Zhongguo(Department of Anesthesiology,Lanling County People’s Hospital,Shandong Province,Linyi,Shandong,277700,China)

机构地区：[1]山东省兰陵县人民医院,山东临沂277700

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第3期83-84,共2页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的 观察依托咪酯联合丙泊酚麻醉应用在耳鼻喉科手术中对患者睁眼时间的影响。方法 选择2019年6月~2021年6月接诊的102例耳鼻喉科手术患者,随机分为:观察组(纳入51例,以依托咪酯+丙泊酚进行麻醉诱导与维持)、对照组(纳入51例,以依托咪酯进行麻醉诱导与维持),均行全麻插管,评价组间拔管时间、睁眼时间、麻醉不良反应情况。结果 观察组拔管时间(7.33±1.76)min、睁眼时间(6.45±1.09)min、麻醉不良反应(1.96%)均少于对照组(8.56±1.89)min、(7.12±1.18)min、(13.73%),P<0.05。结论 在耳鼻喉科手术中进行依托咪酯+丙泊酚联合麻醉诱导与维持,能够缩短拔管及睁眼时间,减少不良反应,值得推广。Objective To observe the effect of etomidate combined with propofol anesthesia on patients’ eye-opening time during ENT surgery.Methods A total of 102 patients undergoing ENT surgery between June 2019 and June 2021 were selected and randomly divided into observation group (51 cases included,etomidate + propofol for induction and maintenance of anesthesia),control Group (51 cases included,etomidate for induction and maintenance of anesthesia),all underwent general anesthesia intubation,and the extubation time,eye-opening time,and adverse effects of anesthesia between the groups were evaluated.Results Extubation time (7.33±1.76) min,eye-opening time (6.45±1.09) min,and adverse reactions of anesthesia (1.96%) in the observation group were less than those in the control group (8.56±1.89) min,(7.12±1.18) min,(13.73%),P<0.05.Conclusion Etomidate + propofol combined anesthesia induction and maintenance in ENT surgery can shorten the time of extubation and eye opening,reduce adverse reactions,and is worthy of promotion.

关 键 词：依托咪酯 丙泊酚 耳鼻喉科手术 睁眼时间 

分 类 号：R61[医药卫生—外科学]