【摘 要】
：
目的 比较喉罩-舒芬太尼联合丙泊酚与喉罩-氯胺酮联合丙泊酚静脉麻醉两种方法在体表整形手术中应用的优缺点.方法 40例择期行体表整形手术患者,随机分为喉罩-舒芬太尼联合丙
【机 构】
：
河南科技大学第三附属医院麻醉科,471003
论文部分内容阅读
目的 比较喉罩-舒芬太尼联合丙泊酚与喉罩-氯胺酮联合丙泊酚静脉麻醉两种方法在体表整形手术中应用的优缺点.方法 40例择期行体表整形手术患者,随机分为喉罩-舒芬太尼联合丙泊酚(S)组与喉罩-氯胺酮联合丙泊酚(P)组.相同方法静脉诱导,置入喉罩,术中S组微量泵持续输注舒芬太尼0.3 μg/(kg)、丙泊酚6 mg/(kgh);P组微量泵持续输注氯胺酮4 mg/(kgh)、丙泊酚 6 mg/(kgh)维持麻醉.于手术结束30 min停止输注舒芬太尼及氯胺酮,改丙泊酚为8 mg/(kgh)至术毕.记录术中生命体征、苏醒时间及术后并发症情况.结果 诱导后两组MAP、HR均低于麻醉前, P组术中各点MAP、HR明显高于术前及S组(P<0.05),S组术中各点MAP、HR与麻醉前相比无明显差别,术中较稳定;苏醒时间S组明显短于P组;术后烦躁S组明显少于P组.结论 喉罩-舒芬太尼联合丙泊酚静脉麻醉用于体表整形手术更具有优越性,值得推广.
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