不同肌肉松弛剂用于脊柱外科手术麻醉的比较研究

目的：比较脊柱手术麻醉维持期间,持续静脉输注顺式阿曲库铵与罗库溴铵对术中唤醒时间、麻醉恢复时间及苏醒质量的影响。方法：选择我院40例择期行脊柱手术患者ASAⅠ～Ⅱ级,随机分为顺式阿曲库铵组（C组）和罗库溴铵组（R组）,每组20例。术中麻醉维持,C组持续静脉输注顺式阿曲库铵0.05 mg/（kg.h）,R组静脉持续术中罗库溴铵0.3 mg/（kg.h）,两组均采用静吸复合麻醉。观察停止输注肌松药后术中唤醒时间、恢复时间及唤醒质量。结果：C组患者术中唤醒时间为（11.61±2.20）min,麻醉恢复时间为（14.33±2.20）min。R组术中唤醒时间为（16.70±6.02）min,麻醉恢复时间为（20.53±4.01）min,差异有统计学意义（P〈0.05）。两组唤醒质量比较差异无统计意义（P〉0.05）。结论：顺式阿曲库铵组的唤醒时间和恢复时间均短于罗库溴铵组。

Comparison of the effects of different muscle relaxant on wake up test in anesthesia of scoliosis surgery

Objective：To compare the effect of Cisatracurium and Rocuronium through continuous intravenous infusion on arousing time,recovery time and quality in scoliosis surgery.Methods：40 patients（ASAⅠ-Ⅱ） in scoliosis surgery were divided randomly into Cisatracurium group（C group） and Rocuronium group（R group）,each group had 20 cases.Continuous intravenous infusion with Cisatracurium（0.05 mg/kg·h） was used for maintenance in group C,while Rocuronium（0.3 mg/kg·h） was used in group R.Combined inhalation and intravenous anesthesia was used for maintenance in both groups.The effect of Cisatracurium and Rocuronium through continuous intravenous infusion on arousing time,recovery time and quality was observed in scoliosis surgery.Results：Arousing time was（11.61±2.20） min and recovery time was（14.33±2.20） min in group C,but（16.70±6.02） min and（20.53±4.01） min in group R,the differences were statistically significant（P〈0.05）.There was no significant difference between the two groups in recovery quality.Conclusion：Arousing time and recovery time of Cisatracurium group in the scoliosis surgery are significantly shorter than the time of Rocuronium group.