瑞芬太尼复合咪唑安定在输尿管镜钬激光碎石术中的临床应用.pdfVIP

第 l4卷第2期 中国内镜杂志 China Journal of Endoscopy Vo1．14 No．2 2008年2月 Feb．2OO8 文章编号： 1007—1989(2008)02—0195—03 瑞芬太尼复合咪唑安定在输尿管镜 钬激光碎石术中的临床应用 洪 飚，徐纳新，郑利民 (北京大学深圳医院 麻醉科，广东 深圳 518036) 摘要：目的 探讨瑞芬太尼一咪唑安定全凭静脉麻醉在输尿管镜钬激光碎石手术中的应用。方法 50例 ASA l、Ⅱ级择期手术患者，随机分为连续硬脊膜外阻滞麻醉组(A组)和瑞芬太尼一咪唑安定全凭静脉麻醉 组(B组)，每组25例，记录围麻醉期血流动力学变化、麻醉效果及恶心呕吐、呼吸抑制、烦躁肢动不良反应发 生率。结果 两组患者麻醉后血压、心率均有所下降。B组麻醉效果优于A组(P0．05)，而不良反应B组少于 A组。结论 瑞芬太尼复合咪唑安定全凭静脉麻醉效果可靠，适应于输尿管镜钬激光碎石手术麻醉。 关键词：瑞芬太尼；咪唑安定；静脉麻醉；输尿管镜；钬激光碎石 中图分类号：R614，24 文献标识码： B Clinical application of remifentanil with midazolum for holmium laser lithotripsy through ureteroscope HONG Biao，XU Na—xin，ZHENG Li—min (Department ofA nesthesiology,Peking University Shenzhen Hospital， Shenzhen,Guangdong 518036,P．R．China) Abstract：【0bjective】To evaluate anesthetic effect of ramifentanil with midazolum for holmium laser lithotripsy through ureteroscope．【Methods】50 patients with ureter stone(ASA I or lI)for elective ureteroscope were randomly divided into two Groups -25)．Group A was administered with epidural anesthesia and Group B with remifentanil combined with midazolum infusion．The hemodynamic changes and effect of anesthesia，incidence of nausea，vomit- ring，respiratory depression，fantod and extremity alter were recorded for all patien~．【Results】Blood pressure was lower and HR decreased after anesthesia．In Group B effect of anesthesia was better than Group A (P0、05)， and advelse effect Was less than Group A．【Conclusion】Remifentanil combined with midazolum Can be easily adjusted according to