探究临床麻醉中预注射瑞芬太尼的影响.docVIP

精品论文 参考文献 探究临床麻醉中预注射瑞芬太尼的影响 吴春生 　　湖南省常宁市中医医院 湖南常宁 421500 　　摘要：目的 探究瑞芬太尼在临床麻醉中的效果。方法 选取2014年5月—2014年10月在我院进行手术治疗的患者120例作为研究对象，随机将其划分为对照组和观察组，每组60例。对照组的60例患者在手术前根据患者的体质量给予适量的芬太尼、咪达唑仑、维库溴铵以及丙泊酚静吸的复合麻醉；观察组在手术前应用瑞芬太尼进行静脉麻醉，之后再用瑞芬太尼和丙泊酚进行维持麻醉。将两组患者的血流动力学指标[HR、血氧饱和度、舒张压（DBP）、收缩压（SBP）]、苏醒时间、拔管时间和不良反应率进行统计学比较。结果 两组患者手术麻醉前HR、DBP、SBP和手术过程中的血氧饱和度统计学比较后，Pgt;0.05，差异不显著，无统计学意义；两组患者气腹前、气腹后、气腹结束、手术结束时HR、DBP、SBP以及苏醒时间、拔管时间、不良反应率进行统计学比较后，Plt;0.05，差异显著，具有统计学意义 结论 瑞芬太尼在手术麻醉中取得了很好的临床治疗效果，而且苏醒时间和拔管时间短，不良反应率低，值得在临床上推广应用。 　　关键词：瑞芬太尼；手术麻醉 　　Abstract：Objective To investigate the effect of remifentanil in clinical anesthesia. Methods From May 2014 to October 2014 patients in our hospital for surgical treatment of 120 cases of the study，were randomly divided into control group and observation group，60 cases in each. 60 patients in the control group given before surgery，the right amount of body mass based on the patients combined anesthesia fentanyl，midazolam，vecuronium and inhalation of propofol；remifentanil observation group before surgery intravenous anesthesia，and then after remifentanil and propofol to maintain anesthesia. The two groups of patients hemodynamics [HR，oxygen saturation，diastolic blood pressure（DBP），systolic blood pressure（SBP）]，awakening time，extubation time and adverse reaction rates were compared statistically.Results There were anesthesia before HR，DBP，after oxygen saturation statistical comparison SBP and surgical procedures，Pgt; 0.05，the difference was not significant，was not statistically significant；two groups of patients before and after pneumoperitoneum，pneumoperitoneum，pneumoperitoneum end，the end of surgery HR，DBP，SBP and post-awakening time，extubation time，adverse reaction rates were compared statistically，Plt;0.05，significant difference，statistically significant.Conclusion Made remifentanil anesthesia in surgery a good clinical effect，but the recovery time and extubation time is short，low rate of adverse reactions，worthy of clinical application. 　　Key words：