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endoscopic nasal sinus
相关语句
  鼻内镜
    Methods Thirty ASAⅠorⅡpatients (21 males, 9 females) aged 18-50 yrs weighing 45-85 kg undergoing endoscopic nasal sinus surgery were randomly divided into 2 groups ( n = 15 each): groupⅠcontrol and groupⅡcontrolled hypotension.
    方法择期行鼻内镜手术患者30例,ASAⅠ或Ⅱ级,随机分为2组(n=15):对照组(Ⅰ组)和降压组(Ⅱ组)。
短句来源
    Controlled hypotension with remifentanil and propofol during endoscopic nasal sinus surgery
    鼻内镜手术患者异丙酚复合瑞芬太尼控制性降压的可行性
短句来源
    The Feasibility of Controlled Hypotension with Remifentanil Combined with Propofol During Endoscopic Nasal Sinus Surgery
    瑞芬太尼与异丙酚联合用于鼻内镜手术控制性降压的可行性研究
短句来源
    Methods Thirty normotensive ASA physical status I -II patients (male 21, female 9) aged (18-50)yr weighting (45-85)Kg without heart and pulmonary disease undergoing endoscopic nasal sinus surgery were randomly divided into two groups : nitroglycerin group (N group n=15) and remifentanil group (R group n=15).
    方法 ASA Ⅰ-Ⅱ级30例择期行鼻内镜手术患者,男21例,女9例,年龄18-50岁,体重45-85Kg,无高血压病史,无明显心肺疾患,无血液病病史,术前未用任何影响心脏及血管的药物。
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Objective To determine whether remifentanil combined with propofol could induce and sustain controlled hypotension during endoscopic nasal sinus surgery and to evaluate the safety and controllability. Methods Thirty ASAⅠorⅡpatients (21 males, 9 females) aged 18-50 yrs weighing 45-85 kg undergoing endoscopic nasal sinus surgery were randomly divided into 2 groups ( n = 15 each): groupⅠcontrol and groupⅡcontrolled hypotension. Anesthesia was induced with midazolam, propofol, remifentanil and vecuronium...

Objective To determine whether remifentanil combined with propofol could induce and sustain controlled hypotension during endoscopic nasal sinus surgery and to evaluate the safety and controllability. Methods Thirty ASAⅠorⅡpatients (21 males, 9 females) aged 18-50 yrs weighing 45-85 kg undergoing endoscopic nasal sinus surgery were randomly divided into 2 groups ( n = 15 each): groupⅠcontrol and groupⅡcontrolled hypotension. Anesthesia was induced with midazolam, propofol, remifentanil and vecuronium and maintained with continuous infusion of propofol and remifentanil. Radial artery was cannulated for direct and continuous MAP monitoring and arterial blood sampling (for determination of lactate concentration and blood gas analysis) . Hypotension was induced at the beginning of removing process in groupⅡ.Remifentanil was infused at a rate of 0.25-0.5μg·kg-1·min-1 until the target MAP (50-70 mm Hg) was reached and MAP was maintained at this level during operation. The blood loss from and dryness of the surgical field were evaluated and rated by the attending surgeon who was unaware of which group his patient belonged to. Results There was no significant difference in demographic data between the 2 groups. The duration of operation was significantly shorter in groupⅡthan in groupⅠ(control group). The infusion rate of remifentanil during controlled hypotension was (0.40±0.18)μg·kg-1·min-1.Controlled hypotension was induced within (6.5±2.3) min. MAP and HR were significantly lower in groupⅡthan in groupⅠ( P < 0.05) . There was no significant difference in blood gases and lactate between the two groups. Conclusion Remifentanil combined with propofol can be used to induce and sustain controlled hypotension during endoscopic nasal sinus surgery.

目的探讨鼻内镜手术患者异丙酚复合瑞芬太尼控制性降压的可行性。方法择期行鼻内镜手术患者30例,ASAⅠ或Ⅱ级,随机分为2组(n=15):对照组(Ⅰ组)和降压组(Ⅱ组)。两组均采用静脉注射咪达唑仑、异丙酚、瑞芬太尼和维库溴铵麻醉诱导,持续输注异丙酚和瑞芬太尼、间断静脉注射维库溴铵麻醉维持。桡动脉穿刺置管监测有创动脉血压(MAP)。Ⅰ组不施行控制性降压,Ⅱ组于手术开始时降压,瑞芬太尼初始速率为0.25μg·kg-1·min-1,每隔2分钟增加0.1μg·kg-1·min-1,直到降至靶目标血压,维持MAP 50~70 mm Hg至手术结束。分别记录控制性降压开始即刻(T0)、30 min(T1)和停止降压20min(T2)的HR、MAP,并于各时点抽桡动脉血行血气分析和乳酸测定。用评分法评定术野的质量。结果与Ⅰ组相比,Ⅱ组手术时间缩短(P<0.05),术野质量提高

目的探讨鼻内镜手术患者异丙酚复合瑞芬太尼控制性降压的可行性。方法择期行鼻内镜手术患者30例,ASAⅠ或Ⅱ级,随机分为2组(n=15):对照组(Ⅰ组)和降压组(Ⅱ组)。两组均采用静脉注射咪达唑仑、异丙酚、瑞芬太尼和维库溴铵麻醉诱导,持续输注异丙酚和瑞芬太尼、间断静脉注射维库溴铵麻醉维持。桡动脉穿刺置管监测有创动脉血压(MAP)。Ⅰ组不施行控制性降压,Ⅱ组于手术开始时降压,瑞芬太尼初始速率为0.25μg·kg-1·min-1,每隔2分钟增加0.1μg·kg-1·min-1,直到降至靶目标血压,维持MAP 50~70 mm Hg至手术结束。分别记录控制性降压开始即刻(T0)、30 min(T1)和停止降压20min(T2)的HR、MAP,并于各时点抽桡动脉血行血气分析和乳酸测定。用评分法评定术野的质量。结果与Ⅰ组相比,Ⅱ组手术时间缩短(P<0.05),术野质量提高0.05)。两组均无心血管不良事件发生。结论异丙酚复合瑞芬太尼用于鼻内镜手术患者控制性降压安全、有效。

 
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