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芬太尼诱导复合瑞芬太尼麻醉应用于腹腔镜手术的临床观察 被引量:4

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摘要 目的观察芬太尼复合瑞芬太尼用于腹腔镜胆囊切除术的临床麻醉效果。方法ASAI-II级行腹腔镜胆囊切除术的病人40例,随机分为瑞芬太尼组(R组)、芬太尼-瑞芬太尼组﹙RF组﹚,每组20例。麻醉诱导分别用瑞芬太尼1μg/kg、芬太尼3μg/kg,麻醉维持均为瑞芬太尼0.1~0.4μg(kg.min)。观察血流动力学、麻醉苏醒情况及不良反应等。结果RF组在术后苏醒期血流动力学改变、VAS评分方面优于R组;清醒、拔管时间与R组无显著性差异。结论芬太尼诱导复合瑞芬太尼维持麻醉能满足手术麻醉深度,维持血流动力学稳定,术后能很快清醒并拔管,可减轻瑞芬太尼麻醉术后的急性疼痛。
出处 《江西医药》 CAS 2006年第12期1002-1004,共3页 Jiangxi Medical Journal
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