本文選題：快通道　切入點(diǎn)：心臟麻醉　出處：《中國(guó)醫(yī)藥指南》2016年36期 　論文類(lèi)型：期刊論文

【摘要】：目的分析快通道心臟麻醉在心臟手術(shù)中的應(yīng)用價(jià)值。方法選取本院2012年8月至2015年8月期間收治的116例需進(jìn)行心臟手術(shù)的患者作為本次實(shí)驗(yàn)的研究對(duì)象,根據(jù)麻醉形式的不同,將116例患者平均分為兩組,分別為研究組與對(duì)照組,每個(gè)小組58例患者,對(duì)照組的患者采取一般的形式進(jìn)行麻醉,研究組則為患者提供快通道進(jìn)行心臟麻醉,對(duì)兩組患者的麻醉效果進(jìn)行觀察與記錄。結(jié)果通過(guò)不同的形式的麻醉治療后,研究組治與對(duì)照組在手術(shù)時(shí)間、CPB時(shí)間比較,差異不明顯,無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。但研究組患者的住院時(shí)間、阻斷時(shí)間、氣管拔管時(shí)間以及術(shù)后清醒時(shí)間明顯低于對(duì)照組患者,組間數(shù)據(jù)差異明顯,具有統(tǒng)計(jì)學(xué)意義(P0.05)。研究組患者芬太尼的用量為(15±23)mg/kg,異丙酚的用量為(14±6)mg/kg,維庫(kù)溴銨的用量為(0.5±0.04)mg/kg;對(duì)照組患者芬太尼的用量為(28±8)mg/kg,異丙酚的用量為0,維庫(kù)溴銨的用量為(0.5±0.5)mg/kg;組間數(shù)據(jù)差異明顯,具有統(tǒng)計(jì)學(xué)意義,(P0.05)。研究組患者并發(fā)癥的發(fā)生率明顯低于對(duì)照組患者,組間數(shù)據(jù)差異明顯,具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論本文采用快通道心臟麻醉在心臟手術(shù)中的應(yīng)用價(jià)值顯著,安全性較高,可有效降低并發(fā)癥出現(xiàn)的概率,促進(jìn)患者在短時(shí)間內(nèi)得到清醒,值得在臨床上廣泛推廣以及應(yīng)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 鹵23 mg / kg, 14 鹵6 mg / kg and 0.5 鹵0.04 mg / kg in the study group, and 28 鹵8 mg / kg, 0 and 0.5 鹵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.
【作者單位】： 湖南中醫(yī)藥高等專(zhuān)科學(xué)校附屬第一醫(yī)院;
【分類(lèi)號(hào)】：R614

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