依托咪酯复合芬太尼与小剂量阿曲库铵对喉罩置入全麻的效果评价.docVIP

依托咪酯复合芬太尼与小剂量阿曲库铵对喉罩置入全麻的效果评价 　　摘 要：目的： 探讨依托咪酯复合芬太尼与小剂量阿曲库铵对喉罩置入全麻的应用效果。方法：将我院收治的120例拟行喉罩麻醉的患者随机分为两组，每组60例，其中观察组应用依托咪酯复合芬太尼与小剂量阿曲库铵，对照组仅采用依托咪酯复合芬太尼，比较两组患者下颌松弛程度、血流动力学及不良反应发生情况。结果： 观察组下颌松弛度1级占比为70.00%，对照组为31.67%，观察组明显优于对照组；观察组喉罩置入不良反应发生率为21.67%，对照组为61.67%，观察组明显低于对照组，两组比较差异显著（P0.05），两组MAPT1较T0均明显下降（P0.05）。结论 ：依托咪酯复合芬太尼与小剂量阿曲库铵应用于喉罩麻醉，患者下颌松弛程度好，血流动力学稳定，且不良反应少，值得临床推广应用。 　　关键词：依托咪酯复合芬太尼 小剂量阿曲库铵 喉罩 　　Abstract ：objective to explore the etomidate compound fentanyl and small dose of atracurium on laryngeal mask into the application effect of general anesthesia. Line method to fit the our hospital 120 cases of laryngeal mask anesthesia of the patients were randomly divided into two groups， 60 cases in each group， the observation group application etomidate compound fentanyl and small dose of atracurium， the control group only using etomidate compound fentanyl， comparing two groups of patients with mandible relaxation degree， hemodynamics and adverse reactions occur. Results observation group lower relaxation degree level 1 70.00%， control group was 31.67%， the observation group was better than control group； Observation group of laryngeal mask in the incidence of adverse reactions was 21.67%， control group was 61.67%， the observation group significantly lower than the control group， two groups are significant difference （P 0.05）， two groups of MAPT1 T0 were significantly decreased （P 0.05）. Conclusion etomidate compound fentanyl and small dose of atracurium applied in laryngeal mask anesthesia， patients with mandibular relaxation degree good， hemodynamic stability， and less adverse reactions， worthy of clinical popularization and application. 　　key words： etomidate compound small dose fentanyl atracurium laryngeal mask 　　依托咪酯应用于全麻时麻醉起效快，对呼吸及循环影响小，但诱导时时易出现肌肉痉挛，对于肾上腺皮质功能存在一定程度的抑制作用，且对上呼吸道反射无抑制作用[1]。本研究对拟行喉罩麻醉的患者采取依托咪酯复合芬太尼与小剂量阿曲库铵注入诱导效果满意，现分析报告如下。 　　1. 资料与方法 　　1.1 一般资料 　　选取2013年1月～2014年5月我院收治的120例拟行喉罩全麻患者，将其随机分为两组，每组60例。所有患者按符合美国麻醉医师协会（ASA）术前评估为I～II级，术前均签署知情同意书。其中