期刊文献+

依托咪酯与丙泊酚对全麻患者血流动力学的影响 被引量:4

The Effect of Etomidate and Propofol on Hemodynamics in Patients Undergoing General Anesthesia
下载PDF
导出
摘要 目的研究在全身麻醉手术患者中应用依托咪酯联合丙泊酚麻醉的效果。方法将2016年9月—2017年9月纳入的68例全身麻醉手术患者作为研究对象。采用随机数字表法,将其分为两组。参照组行托咪酯麻醉,实验组行依托咪酯联合丙泊酚麻醉,观察参照组和实验组全身麻醉手术患者的T_2时刻的MAP、HR以及不良反应发生率。结果 T_2时,实验组患者MAP指标为(130.21±2.32)mm Hg,HR为(75.32±3.33)次/min以及不良反应发生率为2.94%,对比参照组的(120.21±3.36)mm Hg、(72.32±4.21)次/min、20.59%,差异均具有统计学意义(P<0.05)。结论将依托咪酯联合丙泊酚麻醉应用在全身麻醉手术患者中展现更优异的作用,可显著降低不良反应,改善患者各项指标,提升麻醉效果。 Objective To study the effect of etomidate combined with propofol anesthesia in patients undergoing general anesthesia. Methods 68 patients with general anesthesia from September 2016 to September 2017 were selected as the study objects and they were divided into groups with random digital table. The reference group was treated with imidolone. The experimental group received etomidate combined with propofol anesthesia. The incidence of MAP, HR and adverse reactions at T2 were observed in the control group and the experimental group. Results At T2, the MAP index was (130.21±2.32) mmHg, HR was (75.32±3.33) times/min, and the incidence of adverse reactions was 2.94%. Compared with the control group of (120.21±3.36) mmHg, (72.32±4.21) times/min, 20.59%, the diference was statistically significant (P 〈 0.05). Conclusion The application of etomidate combined with propofol anesthesia in patients undergoing general anesthesia surgery shows a more excellent role, can signifcantly reduce adverse reactions, improve the patient's indicators, improve anesthesia efect.
作者 邓长流
出处 《中国继续医学教育》 2018年第26期87-88,共2页 China Continuing Medical Education
关键词 依托咪酯 丙泊酚 全身麻醉手术 MAP HR 不良反应 etomidate propofol general anesthesia surgery MAP HR adverse reactions
  • 相关文献

参考文献12

二级参考文献82

  • 1张杨,罗辉宇,徐阳.依托咪酯和丙泊酚在全麻插管时对老年患者脑电双频指数和血流动力学的影响[J].湖北医药学院学报,2013,32(5):430-431. 被引量:5
  • 2曹建国,洪涛,闻大翔,皋源,万燕杰,刁枢,李立志,杭燕南,孙大金.老年患者术后精神和认知障碍的发病率及相关因素分析[J].上海医学,2005,28(11):939-941. 被引量:91
  • 3Mathews GC,Diamond JS.Neuronal glutamate uptake Contributes to GABA synthesis and inhibitory synaptic strength[J].J Neurosci,2003,23(6):2040. 被引量:1
  • 4Kulstad EB,Kalimullah EA,Tekwani KL,et al.Etomidate as an induction agent in septic patients:red flags or false alarms[J].West J Emerg Med,2010,11(2):161. 被引量:1
  • 5Karamercan A,Yilmaz TU,Karamercan MA,et al.Blunt abdominal trauma:evaluation of diagnostic options and surgical outcomes[J].Ulus Travma Acil Cerrahi Derg,2008,14(3):205. 被引量:1
  • 6Kim WY, Lee YS, Ok S J, et al. Lidocaine does not prevent bispectralindex increases in response to endotracheal intubation[J]. AnesthAnalg,2006,102(1): 156-159. 被引量:1
  • 7Maguire AM, Kumar N ,Parker JL ,et al. Comparison of effects of remifen- tanil and alfentanil on cardiovascular response to tracheal intubation in hypertensive patients[J]. Br J Anaesth ,2001,86 ( 1 ) : 90-93. 被引量:1
  • 8King NW. Lee's synopsis of anaesthesia[J]. Postgrad Med J,2000,76 (898) : 525B. 被引量:1
  • 9Hsu WH ,Wang SSW,Shih HY,et al. Low effect-site concentration of pro- pofol target-controlled infusion reduces the risk of hypotension during en- doscopy in a Taiwan Residents population[J]. J Dig Dis ,2013,14 (3) : 147-152. 被引量:1
  • 10Kazama T, Ikeda K, Morita K, et al. Investigation of effective anesthesia induction doses using a wide range of infusion rates with undiluted and diluted propofol[J].Anesthesiology, 2000,92 ( 4 ) : 1017 - 1028. 被引量:1

共引文献104

同被引文献44

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部