智慧健康SmartHealthcare2022年第33期86|·健康科学·医学实践丙泊酚治疗局麻药中毒患者的疗效及对苏醒时间的影响唐泳,凌莎,陈凤英德阳市人民医院,四川德阳618000摘要:目的探讨丙泊酚治疗局麻药中毒患者的疗效及对苏醒时间的影响。方法以2018年2月-2021年2月本院收治的45例局麻药中毒患者为对象,按照随机数字表法分为对照组与观察组。对照组给予咪达唑仑治疗,观察组给予丙泊酚治疗。对比两组疗效及苏醒时间。结果观察组起效时间及苏醒时间均较对照组快(P<0.05)。两组治疗后心率(HR)、血氧饱和度(SpO2)、收缩压(SBP)、舒张压(DBP)水平均升高,观察组HR低于对照组,其余指标高于对照组(P<0.05)。结论丙泊酚治疗局麻药中毒的起效迅速,苏醒时间快,有助于患者的血流动力学稳定。关键词:丙泊酚;局麻药中毒;疗效;苏醒时间DOI:10.19335/j.cnki.2096-1219.2022.33.019EffectofPropofolinTreatmentofPatientswithLocalAnestheticPoisoningTANGYong,LINGSha,CHENFengyingDeyangCityPeople'sHospital,Deyang,Sichuan,618000ABSTRACT:ObjectiveToinvestigateeffectofpropofolintreatmentofpatientswithlocalanestheticpoisoningandinfluenceonrecoverytime.MethodsThepaperchose45patientswithlocalanestheticpoisoningadmittedtoourhospitalfromFebruary2018toFebruary2021assubjects,anddividedthemintocontrolgroupandobservationgroupaccordingtorandomnumbertablemethod.Controlgroup:treatedwithmidazolam,observationgroup:withpropofol.Curativeeffectandrecoverytimewascomparedbetweentwogroups.ResultsOnsettimeandrecoverytimeofobservationgroupwasfasterthancontrolgroup(P<0.05).Aftertreatment,levelsofheartrate(HR),bloodoxygensaturation(SpO2),systolicbloodpressure(SBP)anddiastolicbloodpressure(DBP)intwogroupsincreased.HRinobservationgroupwaslowerthancontrolgroup,whileotherindexeswerehigherthancontrolgroup(P<0.05).ConclusionPropofolcanachieverapidonsetandquickawakeningtimeforpatientswithlocalanestheticpoisoning,whichishelpfultostabilityofhemodynamics.KEYWORDS:Propofol;Localanestheticpoisoning;Curativeeffect;Wake-uptime0引言随着临床外科手术的增多,麻醉技术的重要性日益突出。目前全身麻醉的应用范围较为广泛,局部麻醉已较少应用,局麻药中毒事件发生率呈降低的趋势[1]。然...