[1]张小霓△,张丽虹,林财珠.不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响[J].郑州大学学报(医学版),2012,(02):262.
 ZHANG Xiaoni,ZHANG Lihong,LIN Caizhu.Influence of different patterns of general anesthesia maintainance on incidence of emergence agitation in patients scheduled for gastrointestinal surgery[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(02):262.
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不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年02期
页码:
262
栏目:
应用研究
出版日期:
2012-03-20

文章信息/Info

Title:
Influence of different patterns of general anesthesia maintainance on incidence of emergence agitation in patients scheduled for gastrointestinal surgery
作者:
张小霓张丽虹林财珠
福建医科大学附属第一医院麻醉科 福州 350005
Author(s):
ZHANG XiaoniZHANG LihongLIN Caizhu
Department of Anesthesiology, the First Affiliated Hospital, Fujian Medical University, Fuzhou 350005
关键词:
异丙酚七氟醚全身麻醉苏醒期躁动
Keywords:
propofol sevoflurane general anesthesia emergence agitation
分类号:
R614.2
摘要:
目的:探讨不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响。方法:择期胃肠外科手术患者160例,相同麻醉方案诱导后,分为4组(每组40例),A组全凭静脉麻醉;B1和B2组静吸复合麻醉,B1组手术结束前停止吸入麻药时间≤25 min,B2组手术结束前停止吸入麻药时间>25 min;C组全凭吸入麻醉(术毕间断吸除机械无效腔气体)。记录手术时间、麻醉维持时间和苏醒期躁动发生率。结果:4组手术时间和麻醉维持时间比较,差异均无统计学意义(F=0.498和0.870,P>0.05)。4组躁动发生率相比,差异有统计学意义(χ2=18.824,P<0.001),其中B1组躁动发生率高于其他3组(P<0.008)。结论:全凭静脉麻醉,全凭吸入麻醉及静吸复合麻醉、停止吸入麻药到手术结束时间>25 min者躁动发生率低,麻醉医师可根据患者情况选择适合的麻醉维持方式。
Abstract:
Aim: To observe the influence of different patterns of general anesthesia(GA) maintainance on incidence of emergence agitation(EA) in patients scheduled for gastrointestinal surgery.Methods:A total of 160 patients scheduled for gastrointestinal surgery were allocated into four groups,40 in each group,and induced with the same anesthesia prescription.Group A maintained GA with total intravenous anesthesia;group B1 and B2,with combined intravenous and inhalation anesthesia:for group B1,the inhalation stop to operation end was controlled within 25 min,and for group B2,which was controlled over 25 min;group C maintained GA with total inhalation(the mechanical invalid cavity gas was exhausted after operation discontinously). The surgical duration, anesthesia time and EA incidence were recorded.Results:The operation duration and anesthesia time among the four groups had no statistical significance (F=0.498,0.870,P>0.05),while the EA incidence existed significant difference (χ2=18.824,P<0.001),among which,the EA incidence in group B1 was higher than those in the other 3 groups(P<0.008).Conclusion:The incidences of EA for total intravenous anesthesia,total inhalation,and combined intravenous and inhalation anesthesia with early stop of inhalation are low,and can be chosen accordingly.

参考文献/References:

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[7]赵连英, 类维富, 吴小鹏. 不同氧流量对上腹部手术全身麻醉患者苏醒期的影响[J]. 中国现代普通外科进展, 2009, 12(1): 42
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备注/Memo

备注/Memo:
女,1960年6月生,本科,主任医师,副教授,研究方向:麻醉与重症监护,Email:xianhaohao1622@163.com
更新日期/Last Update: 1900-01-01