支撑喉镜下声带息肉摘除术两种不同麻醉方法的效果比较(附92例报告)

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目的:比较对支撑喉镜下声带息肉摘除术两种不同麻醉方法的效果。方法:将92例病人分成两组,Ⅰ组52例采用静脉复合麻醉,以咪唑安定、异丙酚、芬太尼、琥珀胆碱诱导,气管插管后静滴02%异丙酚和01%琥珀胆碱;Ⅱ组40例采用静吸复合麻醉,以咪唑安定、硫喷妥钠、芬太尼、琥珀胆碱诱导,气管插管后静滴01%普鲁卡因和01%琥珀胆碱,同时吸入安氟醚或异氟醚。分别监测两组病人麻醉前、插管前、插管后及支撑喉镜插入后的心率(HR)、平均动脉压(MAP)、术后清醒时间、术毕躁动及恶心呕吐情况。结果:Ⅰ组病人麻醉及手术过程中,MAP、HR平稳,术毕患者苏醒快,苏醒质量佳。Ⅱ组病人则MAP、HR波动较大,苏醒相对缓慢,苏醒质量相对欠佳。结论:Ⅰ组静脉复合麻醉效果明显优于Ⅱ组静吸复合麻醉 OBJECTIVE: To compare the effects of two different methods of anesthesia on vocal cord polyp excision under support laryngoscopy. Methods: Ninety-two patients were divided into two groups. Fifty-two patients in group Ⅰ were induced by intravenous anesthesia and were induced by midazolam, propofol, fentanyl and succinylcholine. After intravenous intubation, 0.2% propofol and 01% succinylcholine. In group Ⅱ, 40 patients were induced by static inhalation combined with midazolam, thiopental sodium, fentanyl and succinylcholine. After intravenous intubation, 0.2% procaine And 0  1% succinylcholine inhalation of enflurane or isoflurane. The heart rate (HR), mean arterial pressure (MAP), postoperative wakefulness, postoperative agitation and nausea and vomiting were measured before anesthesia, intubation, intubation and laryngoscope insertion respectively. Results: During the anesthesia and operation of group Ⅰ, MAP and HR were stable. The patients recovered quickly and the quality of recovery was good. In group Ⅱ, the MAP and HR fluctuated greatly, the recovery was relatively slow, and the quality of recovery was relatively poor. Conclusion: The intravenous anesthesia in group Ⅰ is better than that in group Ⅱ
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