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日间手术中采用美索比妥或丙泊酚进行全静脉麻醉用于膝关节镜检查。

Total intravenous anaesthesia with methohexitone or propofol for knee arthroscopy in day-case surgery.

作者信息

Piotrowski D, Gaszyński W, Ulbrich K, Kaszyński Z

机构信息

Military Medical University, Łódź, Poland.

出版信息

Med Sci Monit. 2000 Jan-Feb;6(1):88-92.

Abstract

The aim of the study was to assess the usefulness of methohexitone and propofol in total intravenous anaesthesia applied during planned knee joint arthroscopy in day-case surgery. Studies comprised 186 patients divided into 2 groups depending on the anaesthetic used (methohexitone n = 112 or propofol n = 74). ECG, heart rate, systolic and diastolic blood pressure and blood saturation using pulsoxymetry were monitored during anaesthesia. The time of regaining consciousness was measured and the orientation test was performed 5 and 10 minutes after regaining consciousness. Our results and observations confirm that total intravenous anaesthesia is useful in day-case surgery for knee joint arthroscopy. Both methohexitone and propofol cause cardiac and respiratory depression. Patients on propofol regain psychomotoric efficiency earlier then patients who received methohexitone.

摘要

本研究的目的是评估美索比妥和丙泊酚在日间手术计划膝关节关节镜检查中应用于全静脉麻醉的效用。研究包括186例患者,根据所使用的麻醉剂分为2组(美索比妥组n = 112或丙泊酚组n = 74)。麻醉期间监测心电图、心率、收缩压和舒张压以及使用脉搏血氧饱和度仪测量的血氧饱和度。测量苏醒时间,并在苏醒后5分钟和10分钟进行定向测试。我们的结果和观察结果证实,全静脉麻醉在日间膝关节关节镜手术中是有用的。美索比妥和丙泊酚均会引起心脏和呼吸抑制。使用丙泊酚的患者比接受美索比妥的患者更早恢复精神运动效率。

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