七氟醚复合瑞芬太尼用于骨折及关节脱位复位效果分析.docVIP

七氟醚复合瑞芬太尼用于骨折及关节脱位复位的效果分析 　　[摘要] 目的 探讨七氟醚复合瑞芬太尼用于骨折及关节脱位复位的效果分析。方法 方便选取2016年6月―2017年6月在该院骨科治疗的78例骨折及关节脱位复位患者随机分为两组，对照组单用七氟醚麻醉，观察组采用七氟醚复合瑞芬太尼麻醉，比较两组患者的麻醉效果、各项麻醉指标、麻醉前后血流动力学变化。结果 观察组麻醉优良率为97.44%，明显高于对照组的84.62%，两组间差异有统计学意义（P0.05）。结论 七氟醚复合瑞芬太尼用于骨折及关节脱位复位有良好麻醉效果，术中疼痛轻，肌肉紧张度低，血流动力学平稳，术后恢复快，具有积极的临床意义。 　　[关键词] 骨折及关节脱位复位；七氟醚；瑞芬太尼；效果分析 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0132-03 　　Analysis of the Effect of Sevoflurane Combined with Remifentanil on Fracture and Dislocation of Joint 　　WEI Jian-zhong， BIAN Chun-sheng 　　Department of Anesthesiology， Chaoyang Emergency Center， Beijing， 100022 China 　　[Abstract] Objective This paper tries to investigate the effect of sevoflurane combined with remifentanil in reduction of fracture and dislocation of joint. Methods 78 cases of fracture and dislocation reduction in this hospital from June 2016 to June 2017 were randomly divided into two groups， the control group received remifentanil anesthesia， the observation group received sevoflurane combined with remifentanil anesthesia， the anesthetic effects， anesthetic indexes， and hemodynamic changes before and after anesthesia of the two groups were compared. Results The anesthesia excellent rate in the observation group was 97.44%， significantly higher than the control group of 84.62%， with significant difference between the two groups （P0.05）. Conclusion Sevoflurane combined with remifentanil for the reduction of fracture and joint dislocation has good anesthesia effect， with mild pain， low muscle tension， stable hemodynamics and rapid recovery after operation， which has positive clinical significance. 　　[Key words] Reduction of fracture and joint dislocation； Sevoflurane； Remifentanil； Effect analysis 　　骨折复位及关节脱位复位是临床骨科常见的门诊手术类型，以往临床多在无麻醉状态下进行，但患者常见强烈的疼痛及肌肉紧张导致一次复位成功率低，有时需要多次复位，可造成神经血管的损伤，反而不利于骨折及关节脱位的愈合[1]。门诊手术麻醉的应用大大降低了患者复位疼痛及肌肉紧张度高的缺点，但对麻醉药物的要求较高，需要起效快，术后清醒迅速、完全，不良反应发生率低[2]。该研究分析2016年6月―2017年6月在该院骨科采用七氟醚复合瑞芬太尼麻醉的78例骨折及关节脱位复位患者的麻醉效果，现报道如下。 　　1 资料与方法 　　1.1 一