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麻醉状态下氟马西尼对患者脑电双频指数的影响

Effect of flumazenil on bispectral index in patients during anesthesia

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【作者】 罗青妍黄绍强周守静

【Author】 LUO Qing-yan,HUANG Shao-qiang,ZHOU Shou-jing.Department of Anesthesiology,Affiliated Hua Shan Hospital,Fudan University,Shanghai 200040,China

【机构】 复旦大学附属华山医院麻醉科复旦大学附属妇产科医院麻醉科

【摘要】 目的评估七氟醚麻醉下氟马西尼对患者麻醉深度及脑电双频指数(BIS)的影响。方法20例ASAⅠ或Ⅱ级患者择期全麻下行妇科腹腔镜手术。当麻醉初期BIS(47±3)时静注氟马西尼0.01 mg/kg,记录给药(氟马西尼)前及给药后2、4、6、8、10、15、20 min 7个时点的SBP、DBP、MAP、HR、SpO2及BIS值。结果各时点的SBP、DBP、MAP、HR、SpO2及BIS值差异均无统计学意义。结论氟马西尼对七氟醚麻醉下患者的镇静程度无明显拮抗作用。

【Abstract】 Objective To assess the effect of flumazenil on bispectral index(BIS) in patients during anesthesia with sevoflurane inhalation.Methods Twenty ASA Ⅰ or Ⅱ patients undergoing selective gynecology laparoscope surgery under general anesthesia with sevoflurane were studied.A bolus of flumazenil 0.01 mg/kg was injected intravenously at the time when BIS value was kept in the level of(47±3) during sevoflurane inhalation.SBP,DBP,MAP,HR,SpO2 and BIS were recorded before and at 7 time points within 20 min after flumazenil injection.Results There was no any significant difference in SBP,DBP,MAP,HR,SpO2 and BIS among the 8 time points recorded.Conclusion During sevoflurane anesthesia,flumazenil injection has no significant antagonism of on the sedation status.

【关键词】 氟马西尼七氟醚脑电双频指数
【Key words】 FlumazenilSevofluraneBispectral index
  • 【文献出处】 临床麻醉学杂志 ,The Journal of Clinical Anesthesiology , 编辑部邮箱 ,2009年11期
  • 【分类号】R614
  • 【被引频次】7
  • 【下载频次】137
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