用芬太尼和瑞芬太尼对进行手术的患者实施麻醉诱导的效果对比

发布时间：2018-03-28 10:46

本文选题：麻醉诱导　切入点：芬太尼　出处：《当代医药论丛》2016年11期

【摘要】：目的:对比分析用芬太尼和瑞芬太尼对进行手术的患者实施麻醉诱导的临床效果。方法:对近年来在我院进行手术治疗的78例患者的临床资料进行回顾性研究。我们将这78例患者随机分为芬太尼组与瑞芬太尼组,每组各有39例患者。我院为芬太尼组患者使用芬太尼进行麻醉诱导,为瑞芬太尼组患者使用瑞芬太尼进行麻醉诱导。进行麻醉后,比较两组患者的麻醉效果及血压、心率的变化情况。结果:瑞芬太尼组患者麻醉的总有效率明显高于芬太尼组患者,二者相比差异有统计学意义(P0.05)。在进行气管插管后,两组患者的血压、心率较进行麻醉前、进行气管插管前均有明显的下降,且瑞芬太尼组患者血压、心率的下降幅度明显大于芬太尼组患者,二者相比差异有统计学意义(P0.05)。在停药时,瑞芬太尼组患者的血压、心率均明显低于芬太尼组患者,二者相比差异有统计学意义(P0.05)。结论:与使用芬太尼相比,用瑞芬太尼对进行手术的患者实施麻醉诱导的临床效果更好。因此,瑞芬太尼可作为进行麻醉诱导的优选药物。
[Abstract]:Objective: to compare the clinical effects of anesthesia induction with fentanyl and remifentanil. Methods: the clinical data of 78 patients undergoing surgical treatment in our hospital in recent years were retrospectively studied. We randomly divided the 78 patients into fentanyl group and remifentanil group. There were 39 patients in each group. We used fentanyl for anesthesia induction for fentanyl group and remifentanil for remifentanil group. Results: the total effective rate of anesthesia in remifentanil group was significantly higher than that in fentanyl group (P 0.05). The blood pressure and heart rate of patients in remifentanil group were significantly lower than those in fentanyl group, and the difference was statistically significant (P 0.05). At the time of withdrawal of remifentanil, the blood pressure of patients in remifentanil group was significantly higher than that in fentanyl group. Heart rate was significantly lower than that in fentanyl group (P 0.05). Conclusion: compared with fentanyl, remifentanil is more effective than fentanyl in anesthetic induction. Remifentanil can be used as a selective drug for anesthesia induction.
【作者单位】：云南省曲靖市第一人民医院麻醉科;
【分类号】：R614

【相似文献】