腹腔镜下结直肠癌根治术患者麻醉中靶控输注舒芬太尼和瑞芬太尼复合麻醉对其恢复状况的影响分析

发布时间：2018-04-18 12:42

本文选题：腹腔镜 + 结直肠癌根治术　；参考：《中外医疗》2016年36期

【摘要】：目的分析腹腔镜下结直肠癌根治术患者麻醉中靶控输注舒芬太尼和瑞芬太尼复合麻醉对其恢复状况产生的具体影响。方法回顾性分析该院2015年6月—2016年6月期间收治的70例腹腔镜下结直肠癌根治术患者的临床资料,根据双盲法将其分为研究组(35例)与对照组(35例)。研究组35例腹腔镜下结直肠癌根治术患者给予靶控输注舒芬太尼和瑞芬太尼复合麻醉;对照组35例腹腔镜下结直肠癌根治术患者给予靶控输注舒芬太尼麻醉;对比两组腹腔镜下结直肠癌根治术患者的拔管时间、苏醒时间与不良反应发生率。结果研究组35例腹腔镜下结直肠癌根治术患者的不良反应发生率、苏醒时间、拔管时间依次为5.71%、(8.86±4.57)min、(13.25±3.27)min,对照组35例腹腔镜下结直肠癌根治术患者的不良反应发生率为25.71%、(17.15±7.92)min、(23.14±4.48)min;两组对比差异有统计学意义(P0.05)。结论腹腔镜下结直肠癌根治术患者麻醉中靶控输注舒芬太尼和瑞芬太尼复合麻醉对其恢复状况具有促进作用,值得在临床麻醉工作中推广运用。
[Abstract]:Objective to analyze the effect of target-controlled infusion of sufentanil and remifentanil on the recovery of patients undergoing laparoscopic radical resection of colorectal cancer.Methods the clinical data of 70 patients undergoing laparoscopic radical resection of colorectal cancer from June 2015 to June 2016 were analyzed retrospectively. According to the double blind method, they were divided into study group (35 cases) and control group (35 cases).35 patients in the study group were treated with target-controlled infusion of sufentanil and remifentanil combined with remifentanil, while 35 patients in the control group were given target-controlled infusion of sufentanil.The extubation time, recovery time and adverse reaction rate were compared between the two groups after laparoscopic radical resection of colorectal cancer.Results the adverse reaction rate and recovery time of 35 patients undergoing laparoscopic radical resection of colorectal cancer in the study group were analyzed.The extubation time was 5.71 卤4.57 min (13.25 卤3.27 min), and the adverse reaction rate in the control group was 25.71% 17.15 卤7.92 min (23.14 卤4.48 min), there was significant difference between the two groups (P 0.05).Conclusion Target controlled infusion of sufentanil and remifentanil can promote the recovery of patients undergoing laparoscopic radical resection of colorectal cancer, which is worth popularizing in clinical anesthesia.
【作者单位】：解放军第一八四医院麻醉科;
【分类号】：R614;R735.34

【相似文献】