摘要
目的探讨瑞芬太尼-咪唑安定全凭静脉麻醉在输尿管镜钬激光碎石手术中的应用。方法50例ASAI、Ⅱ级择期手术患者,随机分为连续硬脊膜外阻滞麻醉组(A组)和瑞芬太尼-咪唑安定全凭静脉麻醉组(B组),每组25例,记录围麻醉期血流动力学变化、麻醉效果及恶心呕吐、呼吸抑制、烦躁肢动不良反应发生率。结果两组患者麻醉后血压、心率均有所下降。B组麻醉效果优于A组(P<0.05),而不良反应B组少于A组。结论瑞芬太尼复合咪唑安定全凭静脉麻醉效果可靠,适应于输尿管镜钬激光碎石手术麻醉。
[Objective] To evaluate anesthetic effect of remifentanil with midazolum for holmium laser lithotripsy through ureteroscope. [Methods] 50 patients with ureter stone（ASA I orⅡ） for elective ureteroscope were randomly divided into two Groups （n =25）. Group A was administered with epidural anesthesia and Group B with remifentanil combined with midazolum infusion. The hemodynamic changes and effect of anesthesia, incidence of nausea, vomitting, respiratory depression, fantod and extremity alter were recorded for all patients. [Results] Blood pressure was lower and HR decreased after anesthesia. In Group B effect of anesthesia was better than Group A （P 〈0.05）, and adverse effect was less than Group A. [Conclusion] Remifentanil combined with midazolum can be easily adjusted according to operative requirement. It is suitable for patients in ureteroscopic surgery.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第2期195-197,共3页
China Journal of Endoscopy
关键词
瑞芬太尼
咪唑安定
静脉麻醉
输尿管镜
钬激光碎石
remifentanil
midazolum
total intravenous anesthesia
ureteroscope
holmium laser lithotripsy
