摘要
目的:观察右侧星状神经节阻滞(R—SGB)用于预防全麻气管导管拔管期心血管反应的效果。方法:ASAⅠ~Ⅱ级择期腹腔镜胆囊切除患者40例,依数字随机法分为两组,各20例。Ⅰ、Ⅱ组均予咪达唑仑、芬太尼、阿曲库铵、丙泊酚静脉推注全麻诱导气管插管,Ⅰ组于胆囊切除后予1%利多卡8 mL行R—SGB,记录全部病人麻醉前(B)、围拔管期(T1~T4)各时点的SBP、MAP、HR值。结果:围拔管期Ⅱ组各时点指标组内(拔管前)及同时点组间比较明显升高(均P<0.05)。结论:R—SGB可以抑制气管导管拔管期的心血管应激反应。
Objective:To investigate the effect of R-SGB on prevention of the cardiovascular response.Methods:Forty ASAⅠ~Ⅱ patients who were scheduled for elective LC under general anaesthesia with tracheal intubation were randomly divided into two groups.GroupⅠ(n=20) was received R-SGB after cholecystectomy.GroupⅡ(n=20) was the control group.To record SBP,MAP,HR before anaesthesia(B),before R—SGB(T1),after R-SGB(T2),two and five minutes after tracheal extubation(T3,T4).Results:In groupⅠ SBP,MAP,HR increased significan...
出处
《现代临床医学》
2009年第2期99-100,共2页
Journal of Modern Clinical Medicine
关键词
右侧星状神经节阻滞
拔管期
心血管
right stellate ganglion block(R-SGB)
extubation
cardiovascular response