甲状腺切除手术中瑞芬太尼联合异丙酚的麻醉效果

发布时间：2017-12-31 12:00

本文关键词：甲状腺切除手术中瑞芬太尼联合异丙酚的麻醉效果　出处：《药品评价》2016年15期 　论文类型：期刊论文

【摘要】：目的:分析在接受甲状腺切除手术治疗的患者麻醉中,瑞芬太尼联合异丙酚的具体应用效果。方法:选取2015年1月至2016年1月在江西省泰和县人民医院接受甲状腺切除手术治疗的78例患者为研究对象,将所选患者随机均分为参照组和干预组,参照组患者接受常规麻醉,干预组患者则接受瑞芬太尼联合异丙酚进行麻醉维持,对比两组患者不同时间段的血流动力学情况、患者的苏醒情况及不良反应情况。结果:干预组患者插管时、手术中、拔管时及拔管后5min的血流动力学情况优于参照组患者,苏醒情况明显好于参照组患者,不良反应的发生情况也明显少于参照组患者,两组患者的数据接受组间对比后存在明显的统计学差异(P0.05)。结论:对于接受甲状腺切除手术治疗的患者麻醉而言,瑞芬太尼联合异丙酚的应用效果较好,值得推广。
[Abstract]:Objective: to analyze the anesthesia of patients undergoing thyroidectomy. Effect of remifentanil combined with propofol. Methods:. From January 2015 to January 2016, 78 patients who received thyroidectomy in Taihe County Hospital of Jiangxi Province were selected as the study objects. The selected patients were randomly divided into the reference group and the intervention group. The patients in the control group received routine anesthesia, while the patients in the intervention group received remifentanil combined with propofol for anesthesia maintenance. The hemodynamics, recovery and adverse reactions of the patients in the two groups were compared. Results: the patients in the intervention group were intubated during the operation. The hemodynamics at extubation and 5 min after extubation was better than that in the reference group, and the recovery was better than that in the reference group, and the incidence of adverse reactions was significantly lower than that in the reference group. There was significant statistical difference between the two groups after the data were compared. Conclusion: for patients undergoing thyroidectomy, there is a significant difference in anesthesia. Remifentanil combined with propofol has a good effect and is worth popularizing.
【作者单位】：江西省泰和县人民医院麻醉科;
【分类号】：R614
【正文快照】： 甲状腺疾病是临床中较为常见和多发的疾病之一,对于部分甲状腺疾病患者的治疗而言,药物治疗等方法效果较差,患者需要接受手术治疗,将甲状腺切除[1]。在甲状腺切除手术的操作中,传统的麻醉方式一般选择颈丛神经阻滞麻醉操作,但是阻滞效果有时难以令人满意[2]。接受甲状腺切除手

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