摘要
目的观察比较地氟烷和七氟烷在肥胖手术患者麻醉后苏醒时间与苏醒质量。方法选取本院100例肥胖手术患者,根据麻醉药选取的不同,分为对照组与观察组,各50例。两组均静脉注射罗库溴铵0.6 mg/kg、依托咪酯0.3 mg/kg、芬太尼2μg/kg及咪达唑仑0.05 mg/kg进行麻醉诱导。观察组患者合并吸入地氟烷与芬太尼维持麻醉,对照组患者合并吸入七氟烷与芬太尼维持麻醉。比较两组患者苏醒时间(睁眼、拨管、恢复定向力)及术后并发症。结果观察组的睁眼时间(9.0±2.5)min,拔除气管插管时间(11.5±2.9)min,恢复定向力的时间(17.5±5.1)均明显短于对照组(P<0.05)。观察组术后并发症率为4.00%,明显低于对照组的18.00%(P<0.05)。结论肥胖手术患者应用地氟烷作为麻醉剂在苏醒时间及苏醒质量的效果上都优于七氟烷,值得临床推广应用。
Objective To compare the recovery time and quality of desflurane and sevoflurane after anesthesia in obese surgical patients.Methods 100 cases of obesity surgery patients in our hospital were divided into control group and observation group according to the different selection of anesthetics,with 50 cases in each group.Both groups were intravenously injected rocuronium 0.6 mg/kg,etomidate 0.3 mg/kg,fentanyl 2μg/kg and midazolam 0.05 mg/kg for anesthesia induction.The observation group was anesthetized with inhaled desflurane and fentanyl,while the control group was anesthetized with inhaled sevoflurane and fentanyl.The recovery time(eye opening,tubation,recovery orientation)and postoperative complications of the two groups were compared.Results The time of eye opening(9.0±2.5)min,tracheal intubation(11.5±2.9)min,and recovery of orientation(17.5±5.1)in the observation group were significantly shorter than those in the control group(P<0.05).The postoperative complication rate in the observation group was 4.00%,which was significantly lower than 18.00%in the control group(P<0.05).Conclusion Desflurane as anesthetic is superior to sevoflurane in the recovery time and the quality of recovery in obese patients,which is worthy of clinical application.
作者
雷小华
李明
黄国振
Lei Xiaohua;Li Ming;Huang Guozhen(Department of Anesthesiology,First People's Hospital of Fuzhou,Fuzhou,Jiangxi,344000,China)
出处
《当代医学》
2019年第28期42-44,共3页
Contemporary Medicine
基金
抚州市指导性科技计划项目(抚科计字[2018]5号,第22项)
关键词
地氟烷
七氟烷
肥胖手术患者
苏醒时间
苏醒质量
Desflurane
Seven halothane
Obese surgical patients
Recovery time
Recovery quality
