摘要
目的 探讨硬麻复合全麻中经微泵恒速输注局麻药及万可松的可行性。方法 60例择期上腹部手术病人 ,ASAI-II级 ,麻醉选择硬麻复合全麻(CEA/GA)。术中用Isoflurane吸入维持全麻。随机分为A组 (普通CEA/GA)、B组 (微泵输注万可松及局麻药的CEA/GA)。A组 :术中每半小时追加万可松2mg;局麻药(1.6%利多卡因 +0.2%地卡因)每小时追加4ml;B组 :术中用微泵恒速静脉输注万可松4mg·h -1 ,经硬膜外恒速输注局麻药4ml·h -1。有创监测血流动力学变化 ,观察苏醒时间、肌松恢复时间及拔管时间。结果 两组病例麻醉药用量、手术时间、吸入Isoflurane及清醒时间差别无显著性(p>0.05) ,但A组病例追加局麻药后SBP出现明显的下降过程。B组肌松恢复及拔管时间均短于A组(p<0.01)。 结论 微泵恒速输注万可松和局麻药可使病人在浅全麻基础上维持良好肌松 ,且血流动力学平稳 ,苏醒迅速 ,能早期拔管。
Objective To study the The feasibility of local anesthetic and vecuronium infusion by microkinetic pump in CEA/GA. Method 60 patients underwent selected operation on upper abdominal region , ASA I-II grade, by CEA/GA. All patients was devided into A group(CEA/GA) and B group(local anesthetic and vecuronium infusion by microkinetic pump in CEA/GA). Results There were no significant difference in the anesthetic dose, operative time, inhaled Isoflurane, wakeful time of two groups(p>0.05). A group occurred descent of SBP after append local anesthetic. The muscle looseness recover and extubation time were significantly shorter in B group. Conclusion Local anesthetic and vecuronium infusion can obtain well muscle looseness, stable hemodynamics, rapid awake and early extubation.
出处
《浙江临床医学》
2002年第10期745-746,共2页
Zhejiang Clinical Medical Journal
