对接受手术治疗的心血管疾病患者在麻醉诱导后注射依托咪酯的效果研究

发布时间：2018-04-02 17:04

本文选题：依托咪脂　切入点：心血管疾病患者　出处：《当代医药论丛》2016年19期

【摘要】：目的 :探讨对接受手术治疗的心血管疾病患者在麻醉诱导后注射依托咪酯的临床效果。方法 :对2014年2月~2015年2月期间我院收治的78例心血管疾病患者的临床资料进行回顾性研究。按照统计学原理将这78例患者分为甲组和乙组,每组各有39例患者。对两组患者均在全身麻醉下进行手术治疗。为甲组患者在进行麻醉诱导的同时注射依托咪脂,为乙组患者在进行麻醉诱导后注射依托咪脂。然后,比较两组患者的HR(心率)、SPO2(动脉血氧饱和度)及其MAP(平均动脉压)。结果:在进行气管插管前,两组患者的HR、SPO2和MAP相比差异均无统计学意义(P0.05)。在进行气管插管后的第10s,乙组患者的MAP明显低于甲组患者,二者相比差异具有统计学意义(P0.05)。两组患者的HR和SPO2相比差异均无统计学意义(P0.05)。结论:对接受手术治疗的心血管疾病患者在进行麻醉诱导后注射依托咪酯的效果显著,可有效地保持其血流动力学的稳定性,提高其麻醉效果。
[Abstract]:Objective: To explore the surgery for patients with cardiovascular disease in the clinical anesthesia effect of etomidate injection after induction. Methods: the clinical data of 78 cases of patients with cardiovascular disease during the February 2014 ~2015 year in February in our hospital were retrospectively analyzed. According to the statistics principle of the 78 patients were divided into group A and group B, each group 39 patients. Two groups of patients were performed surgery under general anesthesia. A group of patients during anesthesia induction and injection of etomidate, for group B patients during induction of anesthesia after injection of etomidate. Then, compared two groups of patients with HR (heart rate), SPO2 (arterial oxygen saturation) and MAP (mean arterial pressure). Results: during tracheal intubation, two groups of patients with HR, SPO2 and MAP was no significant difference (P0.05). At 10s after endotracheal intubation, group B patients was significantly lower than that of MAP Group A patients, compared with the two difference was statistically significant (P0.05). The two groups of patients with HR and SPO2 was no significant difference (P0.05). Conclusion: to accept surgical treatment in patients with cardiovascular disease were significant after induction of anesthesia of etomidate injection effect, can effectively maintain the stability of hemodynamics, improve the effect of anesthesia.

【作者单位】：保定市第一中心医院麻醉科;
【分类号】：R614.2

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