Remifentanil combined with propofol in patients undergoing evaluation of snoring.doc

 PAGE \* MERGEFORMAT 2 Remifentanil combined with propofol in patients undergoing evaluation of snoring [Summary] Purpose of remifentanil and propofol total intravenous and propofol, isoflurane inhalation anesthesia on obstructive sleep apnea syndrome (obstructive sleep apnea syndrome, OSAS, or snoring) in patients with blood flow mechanics and the recovery period features. Choose elective OK uvula - the palate - UPPP (uvulopalatopharyngoplasty, UPPP) for OSAS patients with 42 patients were randomly divided into total intravenous anesthesia (TIVA) with inhalation anesthesia (C) groups. TIVA group (n = 20 cases) was induced with remifentanil 1 μg / kg, propofol 2.5 mg / kg and succinylcholine 1.5 mg / kg after nasal intubation, maintained with remifentanil 0.2 μg / ( kg · min) propofol 4 ~ 6 mg / (kg · h) total intravenous anesthesia, 15 min before the end of surgery to stop Remifentanil, an additional lornoxicam 8 mg. C group (n = 22 cases) was induced with fentanyl 2 μg / kg, propofol 2.5 mg / kg and succinylcholine 1.5 mg / kg after nasal intubation, maintained with propofol 4 ~ 6 mg / ( kg · h) of isoflurane (exhaled concentration of the maintenance of 0.8 ~ 1.2 MAC) inhalation anesthesia, surgical closure of 30 min before the end of isoflurane inhalation, use of propofol 6 ~ 8 mg / (kg · h) infusion , 5 min before skin incision and intraoperative additional fentanyl. Recorded before induction, after induction, after intubation, skin incision, the skin incision, after 20 min, skin incision, after 60 min, extubation, after extubation, after 20 min, extubation after 60 min of the MAP, HR; two groups of surgery time, the end of surgery to extubation time, intraoperative and postoperative total amount of muscle relaxants restlessness, nausea, vomiting, pain and other adverse reactions, and compare the two groups of patients with anesthesia fees. Results TIVA group of patients in the intraoperative hemodynamic stability than the C group of patients, extubation