舒芬太尼与瑞芬太尼在脑功能区手术唤醒麻醉中的效果比较

发布时间：2018-01-23 06:58

本文关键词： 舒芬太尼瑞芬太尼脑功能区唤醒麻醉　出处：《中国医学前沿杂志(电子版)》2016年05期 　论文类型：期刊论文

【摘要】：目的分析舒芬太尼与瑞芬太尼在脑功能区手术唤醒麻醉中的效果。方法将本院2013年1月至2015年1月收治的132例行脑功能区手术患者随机分为对照组(64例)和治疗组(68例)。对照组患者接受瑞芬太尼麻醉,治疗组患者接受舒芬太尼麻醉。比较两组患者麻醉效果、围术期临床指标变化情况及不良反应发生情况。结果两组患者麻醉效果、手术时间、唤醒时间、入住ICU时间比较差异均无显著性(P0.05)。治疗组患者不良反应发生率为5.9%(4/68),对照组为17.2%(11/64),比较差异具有显著性(P0.05)。结论舒芬太尼和瑞芬太尼在脑功能区手术唤醒麻醉中均具有较好的效果,其中舒芬太尼不良反应相对较少,具有临床推广价值。
[Abstract]:Objective to analyze the effect of sufentanil and remifentanil on arousal anesthesia in brain functional area operation. Methods 132 cases of cerebral functional area operation from January 2013 to January 2015 were randomly divided into two groups. Photo group (. Treatment group (n = 64) and treatment group (n = 68). The control group received remifentanil anesthesia. Patients in the treatment group received sufentanil anesthesia. The anesthetic effect perioperative changes and adverse reactions were compared between the two groups. Results the anesthetic effect operation time and wake-up time were compared between the two groups. There was no significant difference in the length of stay in ICU (P 0.05). The incidence of adverse reactions in the treatment group was 5.9% and that in the control group was 17.211 / 64). Conclusion both sufentanil and remifentanil have good effect in cerebral functional area arousal anesthesia, and the adverse reactions of sufentanil are relatively small. It has the value of clinical popularization.
【作者单位】：河北大学附属医院北院麻醉科;河北大学附属医院北院检验科;
【分类号】：R614
【正文快照】： 脑功能区通常指大脑皮质区域,主要负责语言功能与运动功能,脑外科手术需最大限度地避免损伤脑功能区。手术麻醉对脑功能区的保护具有重要作用,麻醉时需起效快速、有效镇痛、快速唤醒、降低颅内压,从而减少不良反应[1,2]。唤醒麻醉指在手术特定阶段,患者需保持清醒状态,从而配

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