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瑞芬太尼-丙泊酚全凭静脉麻醉与七氟醚全凭吸入麻醉应用于保留自主呼吸喉罩全麻下良性乳腺包块切除术的比较

王润

四川医学2011,Vol.32Issue(8):1267-1269,3.
四川医学2011,Vol.32Issue(8):1267-1269,3.

瑞芬太尼-丙泊酚全凭静脉麻醉与七氟醚全凭吸入麻醉应用于保留自主呼吸喉罩全麻下良性乳腺包块切除术的比较

Comparison of propofol-remifentanil total intravenous anesthesia and sevoflurane volatile induction and maintenance anesthesia with laryngeal mask airway under spontaneous breath for patients undergoing resection of benign breast mass

王润1

作者信息

  • 1. 成都市金牛区人民医院麻醉科,四川,成都,610036
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摘要

Abstract

Objective This study was designed to compare the clinical characteristics of propofol-remifentanil total intravenous anesthesia ( TIVA) and sevoflurane volatile induction and maintenance anesthesia ( VIMA) for patients undergoing resection of benign breast mass. Methods 46 patients undergoing resection of benign breast mass were allocated randomly to receive propofol-remifentanil TIVA ( Group A) or sevoflurane VIMA ( Group B) . Respiratory rate ( RR) , heart rate ( HR) , and mean blood pressure ( MBP) were compared during procedure. Induction time, emergence time, and the incidence of adverse events were compared. Results Emergence time in Group A was significantly shorter than that in Group B. Respiratory rate and heart rate were significantly lower in Group A than in Group B. The incidence rates of hradypnea, bradycardia, and hypotension in Group A were significantly higher than those in Group B, and the incidence of excitement in Group A was lower than Group B.Conclusion Compared with sevoflurane VIMA , propofol-remifentanil TIVA provides faster emergence time, lower respiratory rateand heart rate, and lower incidence of emergence agitation.

关键词

七氟醚/瑞芬太尼/丙泊酚/良性乳腺包块切除术

Key words

sevoflurane / remifentanil/ propofol/ resection of benign breast mass

分类

医药卫生

引用本文复制引用

王润..瑞芬太尼-丙泊酚全凭静脉麻醉与七氟醚全凭吸入麻醉应用于保留自主呼吸喉罩全麻下良性乳腺包块切除术的比较[J].四川医学,2011,32(8):1267-1269,3.

四川医学

OACSTPCD

1004-0501

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