目的探讨麻醉因素(右美托咪定复合麻醉)与贫血患者妇科开腹术后认知功能障碍的关系。方法择期妇科开腹术患者40例,血红蛋白80-90g/L,年龄50-70岁,体重50-80kg,ASA分级Ⅰ或Ⅱ级,采用随机数字表法分为2组(n=20):常规麻醉组(N组),右美托咪定复合麻醉组(D组)。两组均采用常规麻醉诱导以及常规七氟醚和瑞芬太尼静吸复合全身麻醉维持。D组在麻醉诱导前经10min静脉输注右美托咪定0.5μg/kg,继之以0.5μg·kg-1·h-1的速率输注至手术结束前的40 min,N组给予等容量0.9 ...
黄昕 +4 more
doaj
针刺麻醉的大量临床实践和实验研究已经证明,针刺具有调整和镇痛作用。可作为麻醉的手段之一。但心理因素,如其中的暗示作用,在针麻中有何意义,还存在不同看法。国外有人认为,针麻就是一种催眠暗示性的麻醉,多数人意见相反,有人进而用实验证明其机理是不同的。我国于1973年即有工作看到 ...
孙长华, 许淑莲, 张树勋
core
MELAS症候群是一種典型的粒腺體腦肌病,它侵犯身體各系統而在每個病人有不同表 現。通常會有肌病變、腦病變、乳酸血症、及中風狀發作等症狀。會報告對肌肉松弛 劑及其他麻醉藥品有延長作用時間、增加敏感性的效果。另琥珀膽酸( succinylcholine)亦易引起高血鉀。惡性高熟也曾被報告過。為避免這些反應,我們 對一名行蘭尾切除術病人探取脊髓麻醉,并得到良好結果,沒有任何神經學方面的後 遺症。但基於多神經病變(polylleuropathy)及脊髓脫髓鞘病變(demyelination)曾被 ...
蕭柏妮;鄭雅蓉;曾祥建;莊岳勳;高培芬 +1 more
core
[Perioperative outcomes and anesthetic management of pregnancy termination in patients with pulmonary hypertension]. [PDF]
Yang L +7 more
europepmc +1 more source
[Determination of 18 caine anesthetics in animal meat using solid phase extraction combined with ultra-performance liquid chromatography-tandem mass spectrometry]. [PDF]
Wu SM +8 more
europepmc +1 more source
[Perioperative Neurocognitive Disorders in Patients With Colorectal Cancer Undergoing General Anesthesia: Influencing Factors and Development of a Nomogram Prediction Model]. [PDF]
Tao W, Xia X, Dai Z, Li R.
europepmc +1 more source
A Study of the Correlation of Pulse Wave Transit Time and Heart Rate Variability during Anesthesia
在手術房中,麻醉是相當重要且不可缺少的一環,尤其是施打麻醉的劑量更是重要,但過多或過少的麻醉劑量均會帶給病患不好的影響。一般來說,全身性的藥物麻醉會透過阻斷自主神經系統來影響病患心血管狀況,常引發病人的心率改變、心臟收縮力下降、血管彈性改變以及周邊血管擴張等等現象,這種血行動力學的變化會造成受麻醉病人的血壓下降甚至產生休克的風險,尤其是對於本身患有糖尿病或心血管疾病等高危險性病人,更有導致併發症甚至死亡的危險。 心跳變異率(heart rate variability, HRV ...
Liu, Wei, 劉為
core
[Clinical study on hemodynamics and analgesic effect of local infiltration anesthesia in the treatment of severe early childhood caries under general anesthesia]. [PDF]
Lu X +7 more
europepmc +1 more source
Jinhui Xu, Mailong Yuan, Tao Zhou, Mingsheng Zhang, Yaqi Li Department of Anesthesiology, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, 330006, People’s Republic of ChinaCorrespondence:
Xu J, Yuan M, Zhou T, Zhang M, Li Y
doaj
[Sub-committee of Anesthesiology of Guangzhou Integrated Traditional Chinese and Western Medicine Society]. [PDF]
Lu Y +26 more
europepmc +1 more source

