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[医院日间手术:三种全身麻醉技术的比较评估]

[Hospital day-surgery: comparative evaluation of 3 general anesthesia techniques].

作者信息

Rossi A E, Lo Sapio D, Oliva O, Vitale O, Ebano A

机构信息

Servizio di Anestesia e Rianimazione, Presidio Ospedaliero S. Giovanni di Dio, Regione Campania USL 24, Frattamaggiore, Napoli.

出版信息

Minerva Anestesiol. 1995 Jun;61(6):265-9.

PMID:8584192
Abstract

For the voluntary interruption of pregnancy, three anaesthetic techniques have been compared being a random assigned to three groups of 40 patients. Induction of anaesthesia was based on fentanyl 0.005 mg/kg+midazolam 0.2 mg/kg or fentanyl 0.005 mg/kg = propofol 2.5 mg/kg or ketamina 0.5 mg/kg+propofol 2.0 mg/kg. Anaesthesia was maintained delivering in spontaneous-assisted ventilation N2O 70% in O2. In addition to the intraoperative conditions, quality and rapidity of some neurofunctional aspects of the recovery have been evaluated using the Steward Score and the Coin Counting Test respectively. Our data suggest fentanyl-propofol association as the safest one as regards the needs of one-day surgery.

摘要

为了研究人工流产,对三种麻醉技术进行了比较,将40例患者随机分为三组。麻醉诱导采用芬太尼0.005mg/kg+咪达唑仑0.2mg/kg,或芬太尼0.005mg/kg+丙泊酚2.5mg/kg,或氯胺酮0.5mg/kg+丙泊酚2.0mg/kg。麻醉维持采用自主辅助通气,吸入70%氧化亚氮和氧气。除了术中情况外,还分别使用Steward评分和硬币计数测试对恢复过程中一些神经功能方面的质量和速度进行了评估。我们的数据表明,就一日手术的需求而言,芬太尼-丙泊酚联合使用是最安全的。

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