用舒芬太尼对脑外伤患者进行麻醉的效果研究

发布时间：2018-04-18 01:36

本文选题：脑外伤 + 麻醉　；参考：《当代医药论丛》2016年06期

【摘要】：目的 :探讨用舒芬太尼对脑外伤患者进行麻醉的临床效果。方法 :对2013年3月至2015年7月期间在我院进行手术治疗的108例脑外伤患者的临床资料进行回顾性研究。我们将这108例患者随机分为舒芬太尼组和瑞芬太尼组,每组各有54例患者。在这两组患者进行手术期间,为瑞芬太尼组患者使用瑞芬太尼进行麻醉,为舒芬太尼组患者使用舒芬太尼进行麻醉。手术结束后,比较两组患者麻醉前后的舒张压、收缩压、心率和术后不良反应的发生率。结果 :在进行麻醉前,两组患者的舒张压、收缩压和心率相比差异不具有显著性(P0.05)。在进行麻醉后,两组患者的舒张压、收缩压和心率均较麻醉前有明显的下降,其中舒芬太尼组患者麻醉后的舒张压、收缩压和心率均明显低于瑞芬太尼组患者,二者相比差异具有显著性(P0.05)。两组患者术后不良反应的发生率相比差异不具有显著性(P0.05)。结论 :用舒芬太尼对脑外伤患者进行麻醉的临床效果确切,可有效地降低其舒张压、收缩压和心率。
[Abstract]:Objective: to investigate the clinical effect of sufentanil on patients with brain injury.Methods: the clinical data of 108 cases of traumatic brain injury treated in our hospital from March 2013 to July 2015 were retrospectively studied.The 108 patients were randomly divided into sufentanil group and remifentanil group with 54 patients in each group.During the operation, remifentanil was used for remifentanil and sufentanil for sufentanil.After operation, diastolic blood pressure, systolic blood pressure, heart rate and incidence of postoperative adverse reactions were compared before and after anesthesia.Results: before anesthesia, there was no significant difference in diastolic blood pressure, systolic blood pressure and heart rate between the two groups (P 0.05).After anesthesia, the diastolic blood pressure, systolic blood pressure and heart rate in both groups were significantly lower than those before anesthesia, and the diastolic blood pressure, systolic blood pressure and heart rate in sufentanil group were significantly lower than those in remifentanil group.There was significant difference between the two groups (P 0.05).There was no significant difference in the incidence of postoperative adverse reactions between the two groups (P 0.05).Conclusion: sufentanil is effective in the treatment of traumatic brain injury and can effectively reduce diastolic blood pressure, systolic blood pressure and heart rate.
【作者单位】：安徽省阜阳市阜南县人民医院;
【分类号】：R614

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