瑞芬太尼复合依托咪酯在老年患者肩关节脱位手法复位中的应用

发布时间：2018-06-25 05:31

本文选题：依托咪酯 + 复合静脉麻醉　；参考：《临床麻醉学杂志》2015年01期

【摘要】：正肩关节脱位以往大多在无麻醉的情况下采用手法复位。随着人们生活质量的提高,越来越多采用适当的麻醉方法下复位。以往多采用臂丛神经阻滞或芬太尼和丙泊酚复合静脉麻醉来完成[1],这些麻醉方法均能满足肩关节脱位手法复位的要求,但各自均有优缺点。而对于常合并有心脑血管疾病等的老年患者,麻醉选择应谨慎。我们采用瑞芬太尼复合依托咪酯静脉麻醉下手法复位老年患者肩关节脱位,效果满意,现报道如下。资料与方法
[Abstract]:In the past, manual reduction was used for the dislocation of the anterior shoulder joint without anaesthesia. With the improvement of people's quality of life, more and more people adopt proper anesthesia to restore. In the past, brachial plexus block or fentanyl / propofol combined intravenous anesthesia were used to complete [1]. These anesthesia methods can meet the requirements of manual reduction of shoulder dislocation, but each has its own advantages and disadvantages. For the elderly patients who often have cardiovascular and cerebrovascular diseases, anesthetic choice should be careful. Remifentanil combined with etomidate was used to treat the elderly patients with shoulder dislocation under intravenous anesthesia. Data and methods
【作者单位】：浙江中医药大学附属嘉兴中医院麻醉科;
【基金】：浙江省嘉兴市疼痛医学创新团队基金资助项目(2011CX-002)
【分类号】：R614

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