两种药物联合麻醉对老年患者围术期应激反应及术后疼痛的影响研究
发布时间:2018-06-12 08:48
本文选题:瑞芬太尼 + 舒芬太尼 ; 参考:《中国实用医药》2016年01期
【摘要】:目的探讨瑞芬太尼联合舒芬太尼作用于老年患者围术期以及术后镇痛的效果与影响。方法 68例进行手术治疗的老年患者,随机分为对照组与观察组,每组34例。对照组单纯采用瑞芬太尼进行麻醉,观察组采用瑞芬太尼联合舒芬太尼进行麻醉,两组患者均采用全凭静脉麻醉。观察两组患者麻醉术中和术后情况。结果对照组总有效率为70.59%低于观察组的94.12%;观察组的术后睁眼时间及完全苏醒时间均少于对照组,差异均具有统计学意义(P0.05)。结论相较于单纯使用瑞芬太尼,两种药物联合使用可以更好的改善患者麻醉后以及术后的恢复情况并且减轻患者疼痛。
[Abstract]:Objective to investigate the effect of remifentanil combined with sufentanil on perioperative and postoperative analgesia in elderly patients. Methods Sixty-eight elderly patients undergoing surgical treatment were randomly divided into control group and observation group with 34 cases in each group. The control group was anesthetized by remifentanil alone, and the observation group by remifentanil combined with sufentanil. The anaesthesia and postoperative conditions were observed in both groups. Results the total effective rate of the control group was 70.59% lower than that of the observation group (94.12%), and the time of eye opening and complete recovery in the observation group was less than that in the control group, and the difference was statistically significant (P 0.05). Conclusion compared with remifentanil alone, combined use of two drugs can improve the recovery and pain of patients after anesthesia.
【作者单位】: 沈阳市第五人民医院;
【分类号】:R614
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1 祁富伟;镇痛的强化与老年病人全身麻醉的优化[D];苏州大学;2014年
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