全凭静脉麻醉与静吸复合麻醉效果比较(1)
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[摘要] 目的：探讨全凭静脉麻醉与静吸复合麻醉的临床麻醉效果，从而为寻找更安全的麻醉方法提供依据。方法：选取2010年1~12月采用全凭静脉麻醉进行择期手术患者98例作为观察组，选取同期静吸复合麻醉择期手术98例患者作为对照组，比较两组血流动力学变化、术毕呼之睁眼时间、麻醉清醒后患者对术中疼痛的回忆、术后24 h不良反应发生情况。结果：观察组术中心率为(75±9)次/min，低于本组诱导前心率[(83±9)次/min]及对照组术中心率[(80±8)次/min]，差异有统计学意义(P<0.05)；观察组不良反应为烦躁2例(2.04%)、恶心2例(2.04%)，低于对照组[7例(7.14%)、9例(9.18%)]，差异有统计学意义(P<0.05)；其他观察指标比较，差异无统计学意义(P>0.05)。结论：全凭静脉麻醉与静吸复合麻醉比较，其可控性、麻醉效果均较好，且不良反应发生率低于静吸复合麻醉。
[关键词] 全凭静脉麻醉；静吸复合麻醉；效应室靶控输注；丙泊酚；芬太尼；哌库溴铵；咪达唑仑
[中图分类号] R614.2 [文献标识码] A [文章编号] 1673-7210(2011)11(a)-102-02
Anesthesia effect comparison between total intravenous anesthesia and intravenous-inhalation anesthesia
GUAN Yong1, HONG Yuli2
1.Department of Anesthesia, Longnan Hospital, Daqing Oilfield General Hospital Group, Heilongjiang Province, Daqing 163453, China; 2.Department of Anesthesia, Daqing Oilfield General Hospital, Heilongjiang Province, Daqing 163453, China
[Abstract] Objective: To investigate the clinical anesthesia effect of the total intravenous anesthesia and intravenous-inhalation anesthesia, in order to seek more safer anesthesia method. Methods: 98 cases of patients with total intravenous anesthesia were treated as the observation group from January to December 2010, and 98 cases with intravenous-inhalation anesthesia were treated as the control group at the same time. Then the hemodynamic changes, eyes opening time, recalling of pain, adverse reaction in 24 h of the two groups were compared. Results: The heart rate of the observation group during surgery was (75±9) times/min, which was lower than that of observation group postoperation [(83±9) times/min] and control group intraoperation [(80±8) times/min], the differences were statistically significant (P<0.05). 2 cases (2.04%) had adverse reaction of irritable and 2 cases (2.04%) had nausea of observation group which were lower than control group [7 cases (7.14%), 9 cases (9.18%)], the differences were statistically significant (P<0.05). The other observation indexs had no significant difference statistically between the two groups (P>0.05). Conclusion: Compared with intravenous-inhalation anesthesia, the controllability and anesthesia effect of total intravenous anesthesia is good, and the adverse effects rate is lower than intravenous-inhalation anesthesia ......
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