普鲁卡因静脉复合麻醉对Q-T间期的影响Effect of Procaine Intervenous Combined Anesthesia on Q T Interval
安裕文,马燕,姚旌
An Yuwen;et al Department of Anesthesiology;Guiyang Medical Collegy;
摘要(Abstract):
观察了普鲁卡因静脉复合麻醉(PICA)对心电图QTc的影响。对照研究了19例择期手术病人PICA常规剂量麻醉前后的QTc。结果表明PICA使本组患者的QTc由0.42±0.03显著延长到0.47±0.04(t=5.13,P<0.001),QTc>045发生率由0%显著增加到53%(P=00002)。作者据此认为:PICA应慎用于术前有QTc延长者,PICA期间应作心电图监测,以避免严重心律失常的发生。
To study the effects of procaine intravenous combined anesthesia(PICA) on Q T interval.Q T interval of 19 cases received selective surgery were measured,before anesthesia and 30 min after intravenous procaine infusion with conventional dose.The results showed that Q Tc was significantly prolonged (P<0.001) and incidence of Q Tc>0 45 was significantly increased(P=0 0002) after PICA. Conclusion:The patientswith long Q T interval must be kept away from PICA and ECG monitor is necessary when PICA is operated.
关键词(KeyWords):
普鲁卡因,全身麻醉,心电描记术
procaine;general anesthesia; electrocardiography
基金项目(Foundation):
作者(Authors):
安裕文,马燕,姚旌
An Yuwen;et al Department of Anesthesiology;Guiyang Medical Collegy;
DOI: 10.19367/j.cnki.1000-2707.1998.02.012
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