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Results After a primarily operating period,it is showed that a anesthesia quality control system based on anesthesia information management can promote anesthesia quality control,improve quality management of both anesthesia department and hospital,and alleviate anesthetist's daily work intensity in some degree.

结果 经过为期10月余的建设和调试,麻醉信息管理和质量控制初步运行显示:麻醉信息管理和质量控制的应用系统促进了麻醉质量管理,并在一定程度上减轻了麻醉医生的工作风险;尚存在有待改进之处。

Objective To observe the anaesthesia effect of the abnormal-objects extraction in trachea of children by pure propofol-scoline combined with anaesthesia method.Methods 60 ill kids were divided into two groups at random, namely the propofol-scoline group (Group S, n=30) and the traditional anaesthesia method group (Group K, n=30). During the operation, SpO2, HR, NIBP and ECG were inspected continuously, moreover, choke, cough, throat hyperkinesia, time for operation, waking-up time and tongue fall back occurrence frequency were also under the inspection.

目的 观察单纯丙泊酚-司可林复合全麻用于小儿气管异物取出术的麻醉效果方法 60例患儿随机分两组,丙泊酚-司可林麻醉组(S组,n=30),传统的麻醉方法组即r-OH复合氯胺酮麻醉组(K组,n=30),术中持续监测SpO2、HR、NIBP及ECG,并观察术中呛咳、喉痉挛、手术时间、苏醒时间和术后舌后坠发生率。

The heart rate, respiration, blood pressure and peripheral oxygen saturation (SpO2) of pre-anesthesia, post-anesthesia, during operation and after analepsia in every group were detected. The narcotism was evaluated by Ramsaymin grading method and the related adverse reactions such as cough, restlessness, harmful memory, and abdominal pain after operation were recorded.

选取在兰州大学第一医院普外二科ERCP诊疗中心行治疗性ERCP患者1 660例,分为静脉镇静、镇痛组(n=800)和常规镇静、镇痛组(n=860),观察各组患者麻醉前、麻醉后、术中、麻醉清醒后的心率、血压、呼吸和血氧饱和度的变化,并应用Ramsaymin分级法评估麻醉状态,记录患者术中呛咳、躁动、患者对手术过程有无不良记忆、术后腹痛等相关不良反应的发生。

objective to investigate the paregoric effects of butorphanol when the errhysis occurs inside the epidural catheter during continuous epidural anesthesia.methods 60 cases of kidney stones received elective surgery.during this surgery they underwent continuous epidural anesthesia and eight cases of them showed the errhysis in the epidural catheter.then epidural injection of butorphanol was given for analgesia and hr,map,spo2 as well as muscle relaxation conditions were monitored before and 5,10,20 min after injection.the conscious and breathing of patients were also monitored.results before and 5,10,20 min after injection of butorphanol,hr and map difference were not statistically significant.the analgesic results were satisfactory.conclusion butorphanol has a definite analgesic effect when the errhysis occurs in epidural catheter during continuous epidural anesthesia.

目的 探讨在连续硬膜外麻醉中,硬膜外导管内渗血时,应用布托啡诺镇痛的效果。方法择期行肾结石手术患者60例,行连续硬膜外麻醉,其中8例硬膜外导管内渗血,均经硬膜外腔注入布托啡诺镇痛,分别监测注入前及注入后5 、10 、20 min,hr、map、spo2及肌肉松驰情况,同时监测患者神志及呼吸情况。结果注射布托啡诺前及注射后5、10、20 min,hr、map差异无统计学意义,镇痛效果满意。结论在连续硬膜外麻醉中硬膜外导管渗血时,注入布托啡诺维持麻醉镇痛效果明确。

The bacteria culture was done for the endotracheal tube, the expiration and inspiration entrance of the anesthesia machine, and the soda lime in eighty general anesthesia patients. Results There are no bacteria growing in the new and the polluted new soda lime at the different stages.

麻醉机的CO2吸收剂钠石灰进行不同时期细菌培养,菌株污染新的钠石灰进行菌落计数, 80例气管插管全身麻醉病人在手术麻醉结束前对病人的气管导管端、麻醉机的呼气端、吸气端、钠石灰行细菌培养。

Methods Every subject was narcosised with of compound dimethylbenzene amicathiazine and solium pentobarbital, the data were analysized.Results Among all subjects, 94%(47 to 50) were successful, 4%(2 to 50) were overanaesthesiaed, 2%(1 to 50) died from repid injection.

成功的麻醉是保障实验顺利进行的重要环节,实验中选择合适的麻醉方法,既可以减少麻醉过深导致动物死亡,又可以避免麻醉太浅术中躁动而影响手术进行。

Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results There were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例,随机分为瑞芬太尼组及芬太尼组,R组采用瑞芬太尼和丙泊酚诱导和维持麻醉,F组采用芬太尼和丙泊酚诱导和维持麻醉,观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

Methods Forty ASAⅠ-Ⅱpatients scheduled for elective thyroidectomy under cervical plexus block combined with general anesthesia were enrolled and randomly divided into two groups: group remifentanil and group fentanyl. Group R were induced and maintained with remifentanil and propofol, while group F with fentanyl and propofol. Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results There were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例,随机分为瑞芬太尼组及芬太尼组,R组采用瑞芬太尼和丙泊酚诱导和维持麻醉,F组采用芬太尼和丙泊酚诱导和维持麻醉,观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

In the CSEA technique anaesthetizes the effect satidfiedlly,the amountused is small,affects slightly to theblood stream dynamics,is one of old age patient first choice anaesthesia methods,especially impasses through skin puncture 125I to implant the treatment prostate gland cancer in the surgery to be advantageous fou opretion.

结果 A组麻醉起效快,麻醉效果满意,无牵拉痛,BP平稳;B组有8例(40%)患者出现麻醉阻滞不全及牵拉痛,血压下降≥30%。结论 CSEA术中麻醉效果满意,用药量小,对血流动力学影响小,是老年患者首选的麻醉方法之一,尤其在经皮穿刺植入125I治疗前列腺癌方面便于操作。

Compound injection of 1% tetracaine and 0 5% lidocaine were used in case group,and 2% lidocaine were used in control group.

结果 :1%利多卡因复合 0 2 5 %丁卡因液在麻醉时效、麻醉效能和麻醉效果上比 2 %利多卡因硬膜外腔麻醉,作用时间延长,麻醉平面扩大,有统计学意义。

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