| 摘要: |
| ［摘要］ 目的 观察丙泊酚联合顺式阿曲库铵在喉罩通气全麻下用于小儿纤支镜检查的肌松效果。方法 回顾性分析2013-01～2014-12住院行纤支镜检查的68例儿科患者的临床资料，根据麻醉用药的不同分为丙泊酚联合顺式阿曲库铵组（A组）36例和丙泊酚联合氯胺酮组（B组）32例，比较两组的麻醉起效时间、阻滞维持时间、临床作用时间、体内作用时间以及肌松恢复指数。结果 A组麻醉起效时间明显比B组短，而A组的阻滞维持时间、临床作用时间、体内作用时间和肌松恢复指数均比B组高，两组比较差异均有统计学意义（P均<0.01）。结论 丙泊酚联合顺式阿曲库铵应用于喉罩通气全麻下小儿纤支镜检查能取得比丙泊酚联合氯胺酮更好的肌松效果，值得推广。 |
| 关键词: 肌松效果 顺式阿曲库铵 纤支镜 小儿 |
| DOI：10.3969/j.issn.1674-3806.2016.07.07 |
| 分类号:R 614 |
| 基金项目:广西卫计委科研课题（编号：Z2014678） |
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| Effect of propofol combined with cis-atracurium on muscle relaxation in pediatric patients with fiberoptic bronchoscopy |
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LIANG Shu-min, LIN Ying, TANG Mao
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Department of Anesthesiology, the Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou Workers′ Hospital, Guangxi 545005, China
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| Abstract: |
| ［Abstract］ Objective To observe the effect of propofol combined with cis-atracurium on muscle relaxation in pediatric patients with fiberoptic bronchoscopy.Methods The clinical data of 68 pediatric patients with fiberoptic bronchoscopy were collected from January 2013 to December 2014 and were retrospectively analyzed. They were divided into group A and group B according to the different anesthetic medications. Group A(n=36) was given propofol combined with cis-atracurium ammonium and group B(n=32) was given propofol combined with ketamine. The time of producing effectiveness, the block maintenance time, the duration of action and the recovery index were compared between the two groups.Results The time of producing effectiveness was significantly less in group A than that in group B. The block maintenance time and the duration of action were significantly longer in group A than those in group B. The recovery indexes of muscle relaxation in group A were significantly elevated than those in group B(P<0.01).Conclusion Propofol combined with cis-atracurium has better effect of muscle relaxation than propofol combined with ketamine in anesthesia for pediatric patients with fiberoptic bronchoscopy. |
| Key words: Effect of muscle relaxation Cis-atracurium Fiberoptic bronchoscopy Pediatric patients |
