瑞芬太尼在气管拔管中对心血管反应的影响
瑞芬太尼;气管拔管;心血管反应,,],瑞芬太尼;气管拔管;心血管反应,1资料与方法,2结果,3讨论,[参考文献]
[摘要] 目的 观察术后应用瑞芬太尼对气管拔管时心血管反应的影响。方法 40例腹腔镜下胆囊切除术的患者,均采用快诱导气管插管静吸复合全麻。术中维持:异氟醚吸入,瑞芬太尼泵注。术毕将患者随机分为两组,瑞芬太尼组术毕将瑞芬太尼剂量减少一半,静滴至拔管后即刻;对照组术毕即停止静滴瑞芬太尼。结果 对照组在吸引及拔管后3 min,HR明显加快(P<0.05)。在拔管时及拔管后SBP升高明显。结论 延长瑞芬太尼静滴时间可以减轻气管拔管时的心血管不良反应。[关键词] 瑞芬太尼;气管拔管;心血管反应
Effects of remifentanil on cardiovascular responses in exiting tracheal tube
ZHANG Jin.Yiyang People’s Hospital,Hunan 413001,China
[Abstract] Objective To observe remifentanil effects to cardiovascular responses when exiting tracheal tube.Methods Forty patients of laparoscopic cholecystectomy (LC) were undergone fast induction and tracheal intubations aesthesia maintained remifentanil and isoflurane intravenous dripping during operation.After operation forty patients were randomized into two groups (groupⅠ and groupⅡ).GroupⅠ were given half dose of remifentanil till exiting tracheal tube groupⅡ stop dripping remifentanil.Results GroupⅡ patients’s heart rate and SBP increased obviously.Conclusion Delaying remifentanil intravenous dripping time could reduce cardiovascular responses in 3 minutes when exiting tracheal tube. ......
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