摘要
目的探讨全麻患者肌松监测在气管拔管中的临床应用。方法选取该院收治的全身麻醉择期外科手术患者共100例，ASA分级I～Ⅱ级．依照入院顺序随机平均分为实验组与对照组，对照组予以传统方式确定拔管时机，实验组患者使用肌松监测仪四个成串刺激确定拔管时机，对比两组患者临床表现。结果实验组患者术中麻醉药物总用量为（19．16±8．12）mg、术后苏醒时间（18．34±4．82）min、术后拔管时间（15．11±19．24）min，麻醉药物用量明显低于对照组（P〈0．05），术后苏醒时间、拔管时间均短于对照组（P〈O．05）。实验组气管拔管后15min、30min低氧血症发生率分别为2．00％、4．00％，拔管后低氧血症总发生率为6．00％，对照组低氧血症总发生率为28．00％，实验组拔管后低氧血症发生率明显低于对照组（P〈0．05）。结论肌松监测下气管拔管时机把握更准确，减少麻醉药物用量，缩短苏醒时间、降低低氧血症发生率。
Objective To investigate the clinical application of neuromuscular monitoring in patients with general anesthesia dur- ing tracheal extubation. Methods A total of 100 patients, ASA grade I - II ,undergoing elective surgery under general anesthesia in our hospital were selected and divided into the experimental group and the control group equally according to the order of admis- sion. The time of tracheal extubation of the control group was determined by traditional method, while that of the experimental group was determined by train of four stimulation of muscle relaxation monitor. The clinical manifestation was compared between the two groups. Results The total anesthesia drug dosage used in the operation by the experimental group was 19.16±8.12 mg, postoperative recovery time was 18.34±4.82 min, extubation time was 15.11±19.24 min, the anesthesia drug dosage of the experi- mental group was significantly lower than that of the control group （P〈0.05）, postoperative recovery time and extubation time were shorter than those of the control group（P〈0.05）. 15 min and 30 rain after the tracheal extubation, the incidence of hyoxemia of the experimental group was 2.00%, 4.00%, respectively. The experimental group＇s total incidence of hyoxemia after tracheal extubation was 6.00% ,significantly lower than the control group＇s 28.00% （P〈0.05）. Conclusion The time of tracheal extubation determined by neuromuscular monitoring is more accurate, which can reduce the anesthesia drug dosage and the incidence of hypoxemia and shorten the recovery time.
出处
《中外医疗》
2014年第5期8-9,共2页
China & Foreign Medical Treatment
关键词
全麻
肌松监测
气管拔管
General anesthesia
Neuromuscular monitoring
Tracheal extubation
