依托咪酯应用于心血管患者麻醉诱导中的效果研究邓崇亮.docVIP

精品论文 参考文献 依托咪酯应用于心血管患者麻醉诱导中的效果研究邓崇亮 广西恭城瑶族自治县人民医院麻醉科 542500, 摘要： 目的 对依托咪酯在心血管患者麻醉诱导中的临床效果进行研究。方法 随机选取我院2014年6月-2016年7月收治的心血管患者90例，并分为对照组及观察组两组，其中对照组患者麻醉诱导过程中给予依托咪酯，而观察组则在患者麻醉后给予依托咪酯，对患者的动脉血氧饱和度、心率、平均动脉压等进行观察，并记录相关数据。结果 通过对相关数据的对比统计分析可知，两组麻醉诱导后平均动脉压均下降，但插管后MAP升高，对照组患者插管前后差异无意义，而观察组P＜0.05，有意义；对于患者的心率及动脉血氧饱和度，经统计学检验后，P＞0.05，无统计意义。结论 依托咪酯应用于患者麻醉诱导过程后可较好地稳定血流动力学，对患者心率及动脉血氧饱和度的影响极小，麻醉效果理想，有利于提高心血管患者手术的成功率。 关键词 依托咪酯；心血管患者；麻醉诱导。 [Abstract]: objective to etomidate in patients with cardiovascular anesthesia was induced in the clinical effect was studied. Methods randomly selected from our hospital in June 2014 to 2016 July from and into the control group and the observation group, the patients in the control group anesthesia induction process given etomidate, while in the observation group is in patients after anesthesia administered etomidate and and the patients arterial oxygen saturation, heart rate, mean arterial blood pressure were observed and record data. Results through comparison of statistics of relevant data analysis shows that, two groups after induction of anesthesia, the mean arterial pressure decreased, but after intubation map increased And control group patients before and after tracheal intubation: there was no significant difference between, and the observation group (P lt; 0.05, meaning; for patients of heart rate and arterial oxygen saturation, after statistical test, P gt; 0.05, no statistical significance. Conclusion application of etomidate in patients with anesthesia induction process can be better stable hemodynamics, with a minimal impact on the patients heart rate and arterial oxygen saturation, anesthesia effect is ideal, is conducive to improve the success rate of cardiovascular surgery in patients with. [Keywords] etomidate; cardiovascular disease; induction of anesthesia. 心血管疾病是心脏和脑血管疾病的总称，好发于50岁以上的中老年人群，在该类疾病患者实施相关手术时，麻醉剂的选择至关重要，近年来研究表明，依托咪酯在心血管患者的麻醉诱导中具有理想效果[1]。依托咪酯具有遗忘、催眠及镇静的作用，为一种新型静脉全身麻醉药剂，对于乳剂依托咪酯制品，不仅见效快、药效强，几乎不对