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  • west china medical publishers
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    find Author "代雪梅" 2 results
    • 右美托咪啶復合局部麻醉在喉癌切除術前氣管造口術中的應用

      目的研究右美托咪啶復合局部麻醉在喉癌切除術前氣管造口術中的應用。 方法選擇2009年1月-2011年12月將要施行全喉切除或喉部分切除+喉功能重建術的40例喉癌患者,隨機分為局部麻醉對照組(對照組)和右美托咪啶復合局部麻醉組(研究組),每組20例。觀察兩組氣管切開術前、術中及術后平均動脈壓(MAP)、心率、血氧飽和度(SpO2),術中采用Ramsay鎮靜評分觀察患者鎮靜情況,以評分在2~4分為優。 結果與對照組比較,術中研究組較患者MAP、心率穩定,組間差異有統計學意義(P<0.05);SpO2均無明顯波動,組間差異無統計學意義(P>0.05),但嗆咳、屏氣、掙扎發生率明顯降低,麻醉效果更滿意(P<0.05)。 結論右美托咪啶復合局部麻醉較單純局部麻醉能更好地滿足喉癌切除術前氣管造口術的要求,增加患者舒適度,且無不良反應。

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    • Application of Nasopharyngeal Airway in Obesity Patients during General Anesthesia Induction

      ObjectiveTo evaluate the superiority of nasopharyngeal airway on obesity patients during general anesthesia induction period. MethodForty-two trachea cannula and general anesthesia obesity patients treated from June to November in 2013 were chosen and divided equally into two groups:nasopharyngeal airway group (group A) and control group (group B). Mean arterial pressure (MAP), heart rate (HR), pulse oxygen saturation (SpO2), arterial blood partial pressure of carbon dioxide (PaCO2) were recorded when the patients entered the operation room, three minutes after man-made positive pressure ventilating and five minutes after intubation. Peak voltage (Ppeak) of man-made positive pressure ventilation for three minutes was also observed, and intubation frequency and time, mouth mucosa bleeding, and sore throat examples were compared between the two groups. ResultsCompared with group B, MAP, HR, PaCO2 and Ppeak three minutes after man-made positive pressure ventilating were lower (P<0.05), but SpO2 was higher in group A (P<0.05). Intubation frequency and time, mouth mucosa bleeding, and sore throat examples of group A were less than those in group B (P<0.05). ConclusionsNasopharyngeal airway is better for obesity patients during general anesthesia induction period, which also improves anesthesia safety level.

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  • 松坂南