依托咪酯全麻患者肌松监测下气管拔管和传统气管拔管效果差异的研究.pdfVIP

窑麻醉与疼痛窑 中国医药导报 2015年 11月第 12卷第 31期 CHINA MEDICAL HERALD Vo . 12 No. 31 November 2015 依托咪酯全麻患者肌松监测下气管拔管 和传统气管拔管效果差异的研究 赖尚导 曾金祥 曾振平 叶阮昊 潘美苑 2 1.广东省梅州市人民医院麻醉二科袁广东梅州 514031曰2.广东省梅州市人民医院检验科袁广东梅州 514031 [摘要] 目的 探讨依托咪酯全麻患者肌松监测下气管拔管和传统气管拔管效果的差异遥 方法 选取 2014年 1月耀 2015年 1月广东省梅州市人民医院收治的 120例行全麻择期手术患者作为研究对象袁采用随机数字表法将其分 为研究组和对照组袁各 60例遥 研究组患者在术中和术后进行肌松监测并决定术后拔管袁对照组患者采取传统经 验评估决定术后拔管袁分别监护并记录两组患者在拔管后 30 min的平均动脉压渊MAP冤尧心率渊HR冤尧血氧饱和度 渊SpO2冤及肌松残余值变化情况袁并比较两组拔管期间麻醉剂残余效应室浓度渊CE冤尧气管拔管时间渊麻醉剂停注到 通气导管拔出时间冤尧麻醉起效时间尧意识恢复时间尧拔管期间呛咳反应及各种不良反应反生率遥 结果 研究组和 对照组患者 CE比较差异有统计学意义渊P 约 0.05冤曰研究组高血压尧低氧血症及心跳异常发生率尧肌松残余率显著 低于对照组袁差异均有统计学意义渊均 P 约 0.05冤曰研究组呛咳反应程度明显低于对照组袁差异有统计学意义渊P 约 0.05冤曰研究组患者意识恢复时间短于对照组袁差异有统计学意义渊P 约 0.05冤遥 结论 肌松监测下气管拔管可有效 降低拔管后患者不良反应及术后肌松残余发生率袁安全性高袁值得临床广泛推广遥 [关键词] 肌松监测曰气管拔管曰依托咪酯曰肌松残余 [中图分类号] R614.2 [文献标识码] A [文章编号] 1673-7210渊2015冤11渊a冤-0110-04 Study on effect differences between neuromuscular monitoring and conv- entional tracheal extubation in patients taken Etomidate for general anesthesia LAI Shangdao1 ZENG Jinxiang1 ZENG Zhenping1 YE Ruanhao1 PAN Meiyuan2 1.The Second Department of Anesthesiology, Meizhou Peoples Hospital, Guangdong Province, Meizhou 514031, China; 2.Department of Laboratory, Meizhou Peoples Hospital, Guangdong Province, Meizhou 514031, China [Abstract] Objective To investigate the effect differences between neuromuscular monitoring and conventional tracheal extubation in patients taken Etomidate for general anesthesia. Methods One hundred and twenty patients, who were taken general anesthesia for elective surgery in Meizhou Peoples Hospital from January 2014 to January 2015 were selected and randomly divided into the research group and the control group, each contained 60 cases. The research group were taken tracheal extubation decided by outcome of neuromuscular monitoring during and after operation, and the control group were taken tracheal extubation decided by traditional experience of assessment. The mean arterial pressure (MAP), heart rate (HR), oxygen saturation (SpO2) a