舒芬太尼和瑞芬太尼靶控输注静脉麻醉用于老年妇科腹腔镜手术的效果

发布时间：2018-06-10 20:07

本文选题：舒芬太尼 + 瑞芬太尼　；参考：《中国老年学杂志》2015年20期

【摘要】：目的探讨舒芬太尼和瑞芬太尼靶控输注静脉麻醉用于妇科腹腔镜手术的效果。方法 64例妇科腹腔镜手术患者,随机分为异丙酚(3 mg/ml)+瑞芬太尼(4.0 ng/ml)靶腔输注A组及异丙酚(3 mg/ml)+舒芬太尼B组(0.5 ng/ml),两组均为32例。输注舒芬太尼于术毕前20 min结束,且术毕时停止输注瑞芬太尼。观察两组的异丙酚使用量、血流动力学参数、复苏室停留时间、呼吸抑制发生率、术后恶心呕吐发生率及疼痛发生率。结果两组异丙酚使用量无统计学差异(P0.05)。麻醉前的MAP基础值两组无显著差异(P0.05),而麻醉后舒芬太尼组MAP均高于瑞芬太尼组(P0.05)。瑞芬太尼组术后恶心呕吐发生率显著高于舒芬太尼组(P0.05),复苏室停留时间也显著长于舒芬太尼组(P0.05)。瑞芬太尼组术后疼痛发生率显著高于舒芬太尼组(P0.05)。结论两种阿片类药物均能达到快捷麻醉的效果,而舒芬太尼可以发挥较显著的镇痛效能,能降低术后镇痛药物使用剂量,并能降低术后恶心呕吐发生率及疼痛发生率,使复苏室停留时间得以缩短。
[Abstract]:Objective to investigate the effect of sufentanil and remifentanil target controlled infusion intravenous anesthesia in gynecologic laparoscopic surgery. Methods 64 patients with gynecologic laparoscopy were randomly divided into group A of propofol (3 mg/ml) + remifentanil (4 ng/ml) and group of propofol (3 mg/ml) + sulfentanyl B (0.5 ng/ml), and 32 cases were treated with sufentanil in two groups. 20 min before the end of the operation, and at the end of the operation stopped infusion of remifentanil. Observe the use of propofol in the two groups, hemodynamic parameters, the retention time of the resuscitation chamber, the incidence of respiratory inhibition, the incidence of postoperative nausea and vomiting and the incidence of pain. Results there was no statistical difference between the use of the two groups of propofol (P0.05). The basic value of MAP before anaesthesia was not obvious. The difference (P0.05), and the MAP in the sufentanil group after anesthesia were higher than that of the remifentanil group (P0.05). The incidence of postoperative nausea and vomiting in the remifentanil group was significantly higher than that of the sufentanil group (P0.05), and the retention time of the resuscitation room was significantly longer than that of the sufentanil group (P0.05). The postoperative pain rate of the remifentanil group was significantly higher than that of the sufentanil group (P0.05). Conclusion two kinds of patients were found to be in the sufentanil group (P0.05). Opioid drugs can achieve rapid anesthesia effect, and sufentanil can play a more significant analgesic efficacy, reduce the dosage of postoperative analgesic drugs, reduce the incidence of postoperative nausea and vomiting and the incidence of pain, and shorten the residence time of the resuscitation room.
【作者单位】：北京市第二医院麻醉科;
【分类号】：R614

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