异丙酚和瑞芬太尼在纤维支气管镜检查麻醉维持阶段的麻醉效果

发表时间：2014-01-21 浏览次数：876次

引用：

赖桂勇，农光，李水忠等.异丙酚和瑞芬太尼在纤维支气管镜检查麻醉维持阶段的麻醉效果[J].吉林医学.2014.35（3）：452-453

关键词：

异丙酚；瑞芬太尼；纤维支气管镜

作者：

赖桂勇，农光，李水忠，李耀松

作者单位：

广西医科大学附属贵港市人民医院麻醉科，广西贵港 537100

出版年份：

2014

期刊页数：

452-453

收录者：

万方

摘要：

目的：观察异丙酚和瑞芬太尼在纤维支气管镜检查麻醉维持阶段的麻醉效果以及苏醒时的安全性评估。方法：随机选择50 例纤维支气管镜检查患者，平均分为A组与B组，分别采用异丙酚以及瑞芬太尼麻醉维持药进行无痛纤维支气管镜进行检查。结果：A 组与B组均能够在镜检过程中实现麻醉效果，A组出现部分患者苏醒缓慢，且有6例在苏醒后出现不良反应；B组患者均能够完全苏醒。结论：异丙酚与瑞芬太尼均能够作为麻醉维持药在纤维支气管镜检查时使用，但是瑞芬太尼作为无痛纤维支气管镜检查麻醉维持药的安全性与效果更加显著。 Objective Observation of propofol and fentanyl in fiber endoscopy maintain phase of the anesthesia effects and wake of safety assessment.Methods Randomly selected from 50 patients with bronchoscopy mirror check average divided into group A and group B,respectively,using propofol and fentanyl anesthesia of Rayleigh maintain medicine in painless ﬁber mirror to check.Results Group A and group B both can be implemented in the process of microscopy anesthesia effect,slow awakening in some patients of group A,And there are 6 cases in adverse reactions after waking;group B patients were able to fully wake up.Conclusion Propofol as anesthesia with fentanyl can maintain drμg use during bronchoscopy mirror check,but rui fentanyl in painless ﬁber endoscopy drμg anesthesia to maintain the security and the effect is more signiﬁcant.

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