瑞芬太尼联合异丙酚用于房颤电复律麻醉的效果评价.docVIP

精品论文 参考文献 瑞芬太尼联合异丙酚用于房颤电复律麻醉的效果评价 宜宾市第三人民医院 四川宜宾 644000 【摘 要】目的：探讨瑞芬太尼联合异丙酚在房颤电复律麻醉中的应用效果。方法：在2015年9月至2016年3月期间，选取我院收治的64例房颤电复律麻醉患者，随机分为对照组（32例）与实验组（32例）。对照组患者采用异丙酚麻醉处理，实验组患者采用瑞芬太尼联合异丙酚电复律麻醉处理，对两组患者的麻醉效果进行对比分析。结果：实验组患者术后苏醒时间与不良反应率均明显优于对照组，对比差异显著（Plt;0.05），具有统计学意义。而两组患者的麻醉起效时间无显著差异（Pgt;0.05），无统计学意义。结论：在房颤电复律麻醉患者中采用瑞芬太尼联合异丙酚麻醉处理，可以显著提高麻醉效率，降低麻醉风险与不良反应，术后苏醒快，符合静脉全麻的要求，具有较高的临床应用价值。 【关键词】瑞芬太尼；异丙酚；房颤；电复律麻醉；效果；评价 【Abstract】Objective：Discusses its joint fentanyl propofol in the application of af cardioerter anesthesia effect.Methods：In September 2015 to March 2016，select our hospital 64 cases of cardioerter anesthesia in patients with atrial fibrillation were randomly divided into control group（32 cases）and the experimental group（32 cases）.Control group were treated by propofol anesthesia treatment，the experimental group were treated by rui joint fentanyl propofol cardioerter anesthesia，anesthesia effect in two groups of patients were analyzed.Results：Experimental group patients postoperative revival time and adverse reaction rate were significantly better than the control group，compared with significant difference（P lt; 0.05），with statistical significance.The anesthesia effect of two groups of patients with time there was no significant difference（P gt; 0.05），no statistical significance.Conclusion：In cardioerter anesthesia in patients with atrial fibrillation using fentanyl combined with propofol anesthesia，can significantly improve the efficiency of anesthesia，reduce risk and adverse reactions in anesthesia，postoperative revival quickly，meet the requirements of the intravenous general anesthesia has higher clinical value. 【Key words】Rui fentanyl；propofol；Atrial fibrillation；Atrial fibrillation；The effect；Evaluation 在临床心律失常中，房颤是其常见的症状。房颤主要是由于心房主导折返环引起若干个小折返环，从而导致房律紊乱。房颤患者引起严重的并发症，例如动脉栓塞或者心力衰竭等，对患者的生命健康具有严重的影响。随着我国老年人口越来越多，房颤的发病率也随之增加，因此，需要加强关注力度，寻找较好的治疗措施，以便有效的提高房颤的治疗效果，改善患者的生活质量。针对有转复为窦性心律可能的房颤患者，在麻醉诱导的情况下采用直流电复律，可