摘要
本文采用清醒健忘诱导、常规快速诱导两种方法,通过监测诱导前后的呼吸、心率、血压、动脉血气分析并进行对比研究。结果:两组诱导前的血压、心率比较无差异(P>0.05),清醒健忘诱导组诱导前后心率、血压比较无明显差异(P>0.05):而快速诱导法组诱导前后血压、心率变化明显(P<0.01)。氟哌啶、芬太尼、安定伍用镇痛作用强,睡眠作用浅,下颌松弛好,又有健忘,且对心血管扰乱小。结论:清醒健忘诱导法适用于心功能低下、饱餐以及气管插管困难的病人,也适用于需经气管内插管氧治疗的呼吸功能不全的病人。
We compared heart rate(HR),arterial blood pressure(ABP),arterial blood gases (ABG)changes in patients during anesthesia in conscious amnesia induction (Group A.n -548) versus usual rapid induction (Group B-n-100). The results showed there were similar in HK,ABP and ABG between these two groups preinduction. There was no remarkable change before and after induction in group A (P<0.01).whereas in group B significant changes occured( P<0.01 ). The study suggests that conscious amnesia induction is suitable for patients with lowered cardiac function.full stomach, respiratory insufficiency and those prone to be intubated with difficulty.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
1993年第2期77-78,共2页
Journal of Clinical Anesthesiology
关键词
清醒
气管插管
芬太尼
氟哌啶
Conscious intubation
Fentanyl
Droperidol
