瑞芬太尼联合异丙酚应用于甲状腺切除手术的临床麻醉效果.docVIP

精品论文 参考文献 瑞芬太尼联合异丙酚应用于甲状腺切除手术的临床麻醉效果 绵阳市第三人民医院麻醉科 四川绵阳 621000 　　摘要：目的：对瑞芬太尼联合异丙酚应用于甲状腺切除手术的临床麻醉效果进行研究分析。方法：将我院2014年6月~2016年3月收治的64例甲状腺切除手术患者进行分析。所有患者均采用动态随机化分法，分为2组，研究组和对照组各32例。对照组患者使用常规麻醉，一组患者给予瑞芬太尼与异丙酚联合麻醉（研究组），对比分析两组患者麻醉苏醒情况。结果：结果得知，研究组患者呼吸恢复时间数据为（5.31plusmn;1.29）min、清醒时间数据为（6.25plusmn;1.37）min、拔管时间数据为（8.13plusmn;1.20）min，与对照组比较优势更大，Plt;0.05；研究组患者不良反应发生率达到了6.25%，较对照组（28.13%）明显更低，Plt;0.05。结论：采用瑞芬太尼联合异丙酚对甲状腺切除手术患者进行麻醉，麻醉效果更好，不良反应较低，在临床上有重要意义。 　　关键词：瑞芬太尼；异丙酚；甲状腺切除手术；临床麻醉效果 　　Clinical effect of remifentanil combined with propofol on thyroidectomy 　　Lin yuxuan，Deng chunyong，Tian huaping，Long xinping 　　Mianyang Third People s Hospital anesthesiology department，Sichuan Mianyang，621000 　　【Abstract】Objective：To study the clinical effect of remifentanil combined with propofol on thyroidectomy.Methods：64 patients with thyroidectomy from June 2014 to March 2016 in our hospital were analyzed.All patients were divided into two groups by dynamic randomization method，32 cases in the study group and the control group.The patients in the control group were treated with conventional anesthesia.One group received remifentanil and propofol combined anesthesia（study group）.The anesthesia awakening of the two groups were compared and analyzed.Results：The data of respiration recovery time（5.31plusmn;1.29）min，awake time（6.25 plusmn;1.37）min and extubation time（8.13plusmn;1.20）min）in the study group were significantly higher than those in the control group（Plt;0.05）.The incidence of adverse reactions in the study group was 6.25%，which was significantly lower than that in the control group（28.13%）（Plt;0.05）.Conclusion：Remifentanil combined with propofol for anesthesia in patients undergoing thyroidectomy has better anesthesia effect and lower adverse reaction.It is clinically important. 　　【Key words】Remifentanil；Propofol；Thyroidectomy；Clinical anesthesia 　　 　　 　　甲状腺切除手术包括部分切除术与全切除手术2种，为了维持患者生理功能，甲状腺切除手术会保留部分甲状腺组织，进行手术前，对患者进行麻醉至关重要，能有效帮助患者缓解疼痛[1]，保证手术顺利进行。本次主要是针对我院64例甲状腺切除手术患者，实施不同麻醉方式，