单独舒芬太尼与舒芬太尼复合瑞芬太尼麻醉用于腹腔镜下结直肠癌根治术患者的麻醉恢复质量差异

发布时间：2018-05-18 09:55

本文选题：舒芬太尼 + 瑞芬太尼　；参考：《中国医药指南》2016年27期

【摘要】：目的研究探讨单独舒芬太尼与舒芬太尼复合瑞芬太尼麻醉在腹腔镜下结直肠癌根治术中患者的麻醉会效果。方法将我院2014年3月至2015年3月实行腹腔镜下结直肠癌根治术的患者56例按照统计学原理分为例数均为28例的A组和B组,A组患儿单独使用舒芬太尼,B组患者食用舒芬太尼符合瑞芬太尼进行麻醉,比较两组患者麻醉恢复质量效果。结果麻醉效果比较,B组患儿拔管时间与苏醒时间均短于A组患者,数据符合统计学差异(P0.05);与此同时麻醉结果还表示,A组患者不良反应发生率低于B组患者,数据符合统计学差异(P0.05)。结论单独使用舒芬太尼与舒芬太尼复合瑞芬太尼在临床应用的过程中各有优缺点,单独使用不良反应较小,复合使用患者苏醒时间与拔管时间短于单独使用。在临场麻醉使用的时候需要根据患者的体质和身体情况综合考虑,选用个性化的麻醉方法。
[Abstract]:Objective to investigate the anesthetic effect of sufentanil and sufentanil combined with remifentanil in laparoscopic radical resection of colorectal cancer. Methods from March 2014 to March 2015, 56 patients undergoing laparoscopic radical resection of colorectal cancer were divided into two groups: group A (n = 28) and group B (n = 28) treated with sufentanil alone. Anesthesia was performed with sufentanil in combination with remifentanil. The quality of anesthesia recovery was compared between the two groups. Results compared with group B, the extubation time and recovery time of group B were shorter than those of group A (P 0.05), and the incidence of adverse reactions in group A was lower than that in group B (P 0.05). The data were in accordance with the statistical difference (P 0.05). Conclusion Sufentanil and sufentanil combined with remifentanil have their own advantages and disadvantages in clinical application, and the adverse reactions are smaller. The time of recovery and extubation in patients with combined use is shorter than that in patients with combined use of sufentanil and remifentanil alone. Individualized anaesthesia should be selected according to the patient's physique and physical condition.
【作者单位】：辽宁省东港市中心医院麻醉科;
【分类号】：R614;R735.34

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