四川医学2012，Vol.33Issue(12)：2095-2098,4.
布托啡诺、曲马多与瑞芬太尼在高血压患者全麻拔管期的临床观察比较
Comparison of effects of butorphanol and midazolam VS.remifentani on anesthesia extubation in patients with hypertension
王雄 1姜敏 1候明勇 1王两忠 1魏江涛1
作者信息
- 1. 成都大学附属医院麻醉科,四川成都610081
- 折叠
摘要
Abstract
Objective To observe the prevention effects of using butorphanol and midazolam vs remifentani on anthesia extubation induced cardiovascular and postoperation adverse reaction. Methods 80 patients with primary hypertension were divided into 4 groups at random, controlled group (Ⅰ group) , butorphanol group (Ⅱ group), midazolam group (Ⅲ group) and remifentani group(Ⅳ group) . Used the same method of anesthesia induction and maintenance among 4 groups. Before extubation, the 0.9% normal saline, butorphanol 0.02 mg/kg, 2mg/kg midazolam and 1μg/kg remifentani were injected respectively for the 4 groups. The parameters of SBP、DBP、HR、SpO2and postoperative side effects were recorded. Results The extubation SBP、DBP、HR、SpO2of group Ⅱ, group Ⅲ and group Ⅳ were keeping more stable than group l(P<0.05). The number of patients with nausea and vomiting, restlessness in group 1 was more than other 3 groups. Conclusion Using of butorphanol , midazolam and remifenlani in patients with hypertension can effectively prevent tracheal extubation induced cardiovascular response and with less adverse reactions.关键词
布托啡诺/曲马多/瑞芬太尼/气管拔管期/心血管不良反应Key words
butorphanol tarlrate/ tramadol/ remifentani/ tracheal extubation/ cardiovascular adverse reactions分类
医药卫生引用本文复制引用
王雄,姜敏,候明勇,王两忠,魏江涛..布托啡诺、曲马多与瑞芬太尼在高血压患者全麻拔管期的临床观察比较[J].四川医学,2012,33(12):2095-2098,4.
