不同剂量咪达唑仑诱导对肺癌手术患者麻醉效果及苏醒质量的影响

    Influence of different doses of midazolam on the anesthesia effect and revival quality of patients treated with lung cancer operation

    • 摘要: 目的:探讨不同剂量咪达唑仑对肺癌患者麻醉效果及苏醒质量的影响。方法:肺癌手术患者58例,按照随机数字表法分为观察组和对照组各29例。麻醉诱导时,观察组给予咪达唑仑0.1 mg/kg,对照组给予咪达唑仑0.05 mg/kg。2组均给予顺苯磺酸阿曲库铵0.15 mg/kg、芬太尼5 μg/kg和依托咪酯脂肪乳注射液0.3 mg/kg的剂量和用法相同。观察2组麻醉诱导后10 min(T1)、手术开始时(T2)、手术开始后30 min(T3)、手术结束时(T4)、苏醒拔出气管导管时(T5)的麻醉效果和苏醒质量。结果:观察组平均动脉压(MAP)和心率(HR)的水平T1~T5均逐渐升高(PP2)水平从T1~T3逐渐升高,而T4~T5逐渐降低(PP2组内的变化差异均有统计学意义(PP2的T3和T5差异均有统计学意义(PPPP>0.05)。结论:咪达唑仑0.1 mg/kg应用于肺癌手术麻醉,较咪达唑仑0.05 mg/kg麻醉效果明显,苏醒质量好,对呼吸循环系统影响小,适合临床应用。

       

      Abstract: Objective:To explore the influences of different doses of midazolam on anesthesia effects and revival quality of patients with lung cancer.Methods:Fifty-eight patients treated with lung cancer operation were randomly divided into the observation group and control group(29 cases each group) according to the random number table method.During the process of anesthesia induction,the observation group and control group were administered with 0.1 and 0.05 mg/kg of midazolam,respectively.Two groups were administered with 0.15 mg/kg of cisatracurium besilate,5 μg/kg of fentanyl and 0.3 mg/kg of Etomidate fat emulsion injection with the same dosage and usage.The anesthetic effect and revival quality in two groups were observed after 10 min of anesthesia induction(T1),start time of surgery(T2),after 30 min of surgery(T3),end time of surgery(T4) and after tracheal extubation(T5).Results:The levels of mean arterial pressure(MAP) and heart rate(HR) in the observation group from T1 to T5 gradually increased(PP2) level gradually increased from T1 to T3,then gradually decreased from T4 to T5(PP2 in the control group at different time-point were statistically significant(PP2 between T3 and T5 in the observation group were statistically significant(PPPP>0.05).Conclusions:The anesthesia effects of 0.1 mg/kg of midazolam on lung cancer surgery is better than that of 0.05 mg/kg of midazolam.The anesthesia with 0.1 mg/kg of midazolam has good analepsia quality and little effect on respiratory system,which is suitable for clinical application.

       

    /

    返回文章
    返回