快通道心脏麻醉在心脏手术中的应用体会

发布时间：2018-03-09 21:59

本文选题：快通道　切入点：心脏麻醉　出处：《中国医药指南》2016年36期 　论文类型：期刊论文

【摘要】：目的分析快通道心脏麻醉在心脏手术中的应用价值。方法选取本院2012年8月至2015年8月期间收治的116例需进行心脏手术的患者作为本次实验的研究对象,根据麻醉形式的不同,将116例患者平均分为两组,分别为研究组与对照组,每个小组58例患者,对照组的患者采取一般的形式进行麻醉,研究组则为患者提供快通道进行心脏麻醉,对两组患者的麻醉效果进行观察与记录。结果通过不同的形式的麻醉治疗后,研究组治与对照组在手术时间、CPB时间比较,差异不明显,无统计学意义(P0.05)。但研究组患者的住院时间、阻断时间、气管拔管时间以及术后清醒时间明显低于对照组患者,组间数据差异明显,具有统计学意义(P0.05)。研究组患者芬太尼的用量为(15±23)mg/kg,异丙酚的用量为(14±6)mg/kg,维库溴铵的用量为(0.5±0.04)mg/kg;对照组患者芬太尼的用量为(28±8)mg/kg,异丙酚的用量为0,维库溴铵的用量为(0.5±0.5)mg/kg;组间数据差异明显,具有统计学意义,(P0.05)。研究组患者并发症的发生率明显低于对照组患者,组间数据差异明显,具有统计学意义(P0.05)。结论本文采用快通道心脏麻醉在心脏手术中的应用价值显著,安全性较高,可有效降低并发症出现的概率,促进患者在短时间内得到清醒,值得在临床上广泛推广以及应用。
[Abstract]:Objective to analyze the value of fast channel cardiac anesthesia in cardiac surgery. Methods 116 patients undergoing cardiac surgery from August 2012 to August 2015 were selected as the subjects of this study, according to the different anesthetic forms. 116 patients were divided into two groups: the study group and the control group, 58 patients in each group. The patients in the control group were anesthetized in general form, and the patients in the study group were given fast channel for cardiac anesthesia. Results after different forms of anaesthesia treatment, there was no significant difference in CPB time between the study group and the control group. There was no statistical significance (P 0.05), but the hospitalization time, blocking time, tracheal extubation time and postoperative waking time of the patients in the study group were significantly lower than those in the control group, and there was significant difference between the two groups. The dosages of fentanyl, propofol, vecuronium and vecuronium were 15 卤23 mg / kg, 14 卤6 mg / kg and 0.5 卤0.04 mg / kg in the study group, and 28 卤8 mg / kg, 0 and 0.5 卤0.5 mg / kg in the control group, respectively. The incidence of complications in the study group was significantly lower than that in the control group, and there was a significant difference between the two groups. Conclusion the application value of fast channel cardiac anesthesia in cardiac surgery is significant. High safety can effectively reduce the probability of complications and promote the patients to wake up in a short period of time. It is worth popularizing and applying widely in clinic.
【作者单位】：湖南中医药高等专科学校附属第一医院;
【分类号】：R614

【相似文献】