【摘要】 目的　观察异丙酚复合芬太尼静脉全麻对术中呼吸的影响。方法　随机选择 ASA ～ 级乳癌根治术病人 2 1例 ,行异丙酚复合芬太尼静脉全麻 ,不使用肌松剂 ,观察呼吸频率 ( RR)、潮气量 ( TV)、每分通气量 ( MV)、呼气末二氧化碳 ( PETCO2 )和脉搏血氧饱和度 ( Sa PO2 )。结果　 RR、TV和 MV减少 ( P<0 .0 1) ,PETCO2 增加 ( P<0 .0 1) ,Sa PO2 全部为 10 0 %。结论　异丙酚复合芬太尼静脉全麻能抑制呼吸 ,造成二氧化碳 ( CO2 )不同程度蓄积 ,其程度与年龄、体质显示相关性 ,提示部分手术可以不使用肌松剂更多还原

【Abstract】 Objective:To observe the effects of propofol combined with fentanyl on breathing in anesthesia.Method:Twentyone elective operation of adult patients with breast carcinoma,ASA class Ⅰ～Ⅱ.received total intravenous anesthesia with propofol combined with fentanyl.RR、TV、MV、P ET CO 2 and SaPO 2.Result:RR、TV、MV decreased(P<001),P ET CO 2 increased(P<001)and all SaPO 2 were 100%.Conclusion:Anesthesia with propofolfentanyl can repress respiration.The significant correlations were found between the repressed degree and age and physique.更多还原