摘要: |
目的比较等效剂量的羟考酮与芬太尼对清醒环甲膜穿刺气管内表面麻醉患者的影响。方法选择2016年6月至2017年2月择期全身麻醉下手术患者80例,随机分为羟考酮组(O组)与芬太尼组(F组),观察患者环甲膜穿刺前后心率、MAP、SPO2与不良事件发生情况。结果羟考酮组心率、MAP变化及不良事件发生率明显小于芬太尼组,差异有统计学意义(P<0.05)。结论盐酸羟考酮比等效剂量的芬太尼能更好的维持环甲膜穿刺气管内表麻时患者的血流动力学稳定,且不良反应发生率更低,为更合理的临床用药方案。 |
关键词: 羟考酮 芬太尼 环甲膜穿刺 |
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Effects of Oxycodone and Fentanyl on Patients Undergoing Thyrocricocentesis with Consciously Tracheal Surface Anesthesia |
Zheng Jie;Gao Zhiyong;Wang Yu
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Department of Anesthesiology,Chengdu 363 Hospital
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Abstract: |
Objective To compare the effects of equivalent doses of oxycodone and fentanyl on patients undergoing thyrocricocentesis with consciously trachealsurface anesthesia.Methods Eighty patients undergoing elective surgery with general anesthesia from June 2016 to February 2017 were randomly divided into oxycodone group( group O) and fentanyl group( group F). The heart rate,MAP,SPO2 and adverse events were observed before and after the thyrocricocentesis. Results The change of heart rate,MAP and the incidence of adverse events of Oxycodone group were smaller than those of fentanyl group,the difference of which was statistically significant( P< 0. 05). Conclusion Oxycodone hydrochloride is more effective than the equivalent dose of fentanyl in maintaining hemodynamic stability of patients undergoing thyrocricocentesis with consciously trachealsurface anesthesia and the incidence of adverse reactions is lower,which is a more reasonable clinical medication plan. |
Key words: oxycodone fentanyl thyrocricocentesis |