瑞芬太尼与丙泊酚联用在老年患者肩关节脱位手法复位术中的效果评价

发布时间：2018-07-03 19:55

本文选题：瑞芬太尼 + 二异丙酚　；参考：《重庆医学》2015年11期

【摘要】：目的探析瑞芬太尼与丙泊酚联用对肩关节脱位复位术老年患者的麻醉效果。方法选择2011年3月至2014年1月该院行肩关节脱位手法复位手术的老年患者100例,将其分成A、B两组,每组50例。A组单纯用丙泊酚进行麻醉,B组用瑞芬太尼联合丙泊酚进行麻醉。观察并比较两组麻醉效果。结果 A组麻醉效果评定中的优良率为84.00%,远远低于B组的100.00%,两组比较差异有统计学意义(P0.05)。A组手术复位、麻醉恢复时间分别为(10.10±3.51)、(3.35±1.44)min,均长于B组的(4.51±2.86)、(1.34±0.76)min,两组比较差异有统计学意义(P0.05)。A组平均麻醉起效时间约为(1.60±0.84)min,B组约为(1.53±0.73)min,两组比较差异无统计学意义(P0.05)。手术后两组患者的心率(HR)、平均动脉压(MAP)和血氧饱和度(SpO2)比较,差异无统计学意义(P0.05)。结论老年肩关节脱位手法复位手术中联合使用瑞芬太尼和丙泊酚进行麻醉,具有麻醉起效快、恢复快等优势,值得临床推广应用。
[Abstract]:Objective to investigate the anesthetic effect of remifentanil combined with propofol in elderly patients with shoulder dislocation. Methods from March 2011 to January 2014, 100 elderly patients undergoing manual reduction of shoulder dislocation were divided into two groups: group A (n = 50) and group A (n = 50) treated with propofol alone. Group B was anesthetized with remifentanil combined with propofol. The anesthetic effect was observed and compared between the two groups. Results the excellent and good rate of anesthesia effect evaluation in group A was 84.00, which was much lower than that in group B (100.00g). The difference between the two groups was statistically significant (P0.05). The recovery time of anesthesia was (10.10 卤3.51), (, 3.35 卤1.44) mins, longer than that of group B (4.51 卤2.86), (, 1.34 卤0.76) mins, the difference between the two groups was statistically significant (P0.05). The average onset time of anesthesia in group A was (1.60 卤0.84) min, about (1.53 卤0.73) minutes in group B, and there was no significant difference between the two groups (P0.05). There was no significant difference in heart rate (HR), mean arterial pressure (map) and blood oxygen saturation (SPO _ 2) between the two groups after operation (P0.05). Conclusion the combined use of remifentanil and propofol in manual reduction of shoulder dislocation in elderly patients has the advantages of quick anaesthesia and quick recovery.
【作者单位】：浙江省桐乡市第二人民医院麻醉科;
【分类号】：R614.2

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