舒芬太尼复合咪达唑仑辅助椎管麻醉在下腹部手术中的应用效果观察

发布时间：2018-01-28 07:12

本文关键词： 下腹部手术椎管麻醉舒芬太尼咪达唑仑应用效果　出处：《基层医学论坛》2016年25期 　论文类型：期刊论文

【摘要】：目的探讨舒芬太尼复合咪达唑仑辅助椎管麻醉在下腹部手术中的应用效果。方法选取我院2015年6月—2016年3月收治的200例拟在椎管内麻醉下行下腹部手术患者为研究对象,随机分为观察组和对照组各100例。对照组给予静注芬太尼复合咪达唑仑辅助椎管麻醉,观察组给予静注舒芬太尼复合咪达唑仑辅助椎管麻醉,对比2组临床疗效。结果观察组镇静效果满意率、肌松效果满意率和牵拉反应程度满意度均明显高于对照组,差异均有统计学意义(P0.05);观察组遗忘程度明显快于对照组、不良反应发生率明显低于对照组,差异均有统计学意义(P0.05)。结论对行下腹部手术患者采用舒芬太尼联合咪达唑仑辅助椎管麻醉,在提高镇静效果、肌松效果和减轻牵拉反应方面具有积极作用,同时术后患者遗忘效果较好,出现的不良反应较少。
[Abstract]:Objective to investigate the effect of sufentanil combined with midazolam on spinal canal anesthesia in patients undergoing lower abdominal surgery. Methods 200 patients who were admitted to our hospital from June 2015 to March 2016 were selected for spinal canal anesthesia. Patients undergoing lower abdominal surgery were studied. The control group was given intravenous fentanyl combined with midazolam for spinal canal anesthesia, and the observation group was given intravenous sufentanil combined with midazolam for spinal canal anesthesia. Results the satisfaction rate of sedation, muscle relaxation and the degree of traction reaction in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P 0.05). The degree of amnesia in the observation group was faster than that in the control group, and the incidence of adverse reactions was significantly lower than that in the control group. Conclusion Sufentanil combined with midazolam can improve sedation effect in patients undergoing lower abdominal surgery. The effect of muscle relaxation and the reduction of stretch response were positive, and the postoperative amnesia was better and the adverse reactions were less.
【作者单位】：福州市中医院;
【分类号】：R614
【正文快照】： 咪达唑仑、芬太尼和舒芬太尼均为麻醉科常用药。临床上最常用咪达唑仑复合芬太尼辅助椎管内麻醉,两者联合使用能起到协同作用,不但可以增加镇痛强度,并且可延长镇痛时间,但是该两种药物都具有一定的呼吸抑制作用。舒芬太尼是芬太尼的衍生物,其镇痛效果明显优于芬太尼,并且血流

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