李凌云. 舒芬太尼联合丙泊酚全麻诱导对气管插管时血流动力学的影响[J]. 蚌埠医科大学学报, 2009, 34(8): 697-698.
    引用本文: 李凌云. 舒芬太尼联合丙泊酚全麻诱导对气管插管时血流动力学的影响[J]. 蚌埠医科大学学报, 2009, 34(8): 697-698.
    LI Ling-yun. The effect of sufentanil in combination with propofol as general anesthesia induction on hemodynamics during tracheal intubation period[J]. Journal of Bengbu Medical University, 2009, 34(8): 697-698.
    Citation: LI Ling-yun. The effect of sufentanil in combination with propofol as general anesthesia induction on hemodynamics during tracheal intubation period[J]. Journal of Bengbu Medical University, 2009, 34(8): 697-698.

    舒芬太尼联合丙泊酚全麻诱导对气管插管时血流动力学的影响

    The effect of sufentanil in combination with propofol as general anesthesia induction on hemodynamics during tracheal intubation period

    • 摘要: 目的:观察舒芬太尼联合丙泊酚对全麻诱导气管插管时血流动力学的影响。方法:选择ASAⅠ~Ⅱ级腹腔镜胆囊切除术患者40例,随机分为舒芬太尼组和芬太尼组,各20例。全麻诱导分别静注咪达唑仑0.05 mg/kg、丙泊酚1~1.5 mg/kg、舒芬太尼0.5μg/kg或芬太尼3~5μg/kg、维库溴铵0.1 mg/kg,5 min后行气管插管。记录并分析诱导前、诱导后、插管后5 min的心血管反应数据。结果:芬太尼组诱导后平均动脉压、心率与诱导前比较,差异有统计学意义(P<0.01),而舒芬太尼组与诱导前差异均无统计学意义(P>0.05);两组间插管后5 min的平均动脉压、心率差异有统计学意义(P<0.01)。结论:舒芬太尼联合丙泊酚用于全麻诱导时血流动力学更稳定,应激反应较弱。

       

      Abstract: Objective: To evaluate the effect of sufentanil in combination with propofol as general anesthesia induction on the hemodynamic response during tracheal intubation period.Methods: Forty patients with ASA Ⅰ-Ⅱ stages laparoscopic cholecystectomy were randomized into 2 groups,sufentanil group and fentanyl group,20 cases of each group.Anesthesia induction were done through intravenous injection with midazolam at 0.05 mg/kg,propofol at 1-1.5 mg/kg,sufentanil at 0.5 μg/kg or fentanyl at 3-5 μg/kg,vecuronium at 0.1 mg/kg.Five minutes later,tracheal intubation was done.The hemodynamics before induction,during induction and 5 min after intubation were recorded.Results: In fentanyl group,in contrast to before induction,mean arterial pressure(MAP) and heart rate(HR) had more significant differences after anesthesia induction(P<0.01).In Sufentanil group,these parameters had no significant difference(P>0.05).Between the two groups within 5 min after intubation,MAP and HR had significant differences(P<0.01).Conclusions: Sufentanil in combination with propofol as general anesthesia induction is more stable and less stress response on blood hemodynamics.

       

    /

    返回文章
    返回