七氟烷- 瑞芬太尼麻醉在中小手术中的应用价值

凯赛尔 • 艾则孜, 伊丽米努尔 • 牙力坤

摘要


目的：观察瑞芬太尼用于甲状腺短时间手术患者麻醉诱导以及维持方式在患者血流动力学及术后苏醒的效果。方法：选取 ASA Ⅰ ~ Ⅱ级甲状腺手术患者 68 例，随机分为瑞芬太尼组 38 例（观察组）、舒芬太尼组 30 例（对照组）。麻醉诱导采用静脉注射咪达唑仑、顺阿曲库氨以及异泊酚 - 舒芬太尼（对照组）或七氟烷 - 瑞芬太尼（观察组）的方法。对照组全麻使用舒芬太尼 - 异泊酚全凭静脉麻醉维持麻醉 , 观察组全麻使用七氟烷 - 瑞芬太尼静吸复合维持麻醉。观察两组患者麻醉效果。结果：麻醉期间两组收缩压、舒张压、心率比较差异无统计学意义（P ＞ 0.05）；观察组睁眼时间、脱离呼吸机时间、拔出气管导管时间、离开复苏室（post anesthesia Care unit，PACU）时间低于对照组，差异均有统计学意义（P ＜ 0.05）。PACU内躁动人数、PACU 内镇痛药使用人数两组之间无明显差异。结论：瑞芬太尼复合七氟烷麻醉用于中小手术麻醉效果好，可减留观 PACU 时间，对促进患者术后恢复具有重要作用，麻醉复苏效应优于常规全凭静脉麻醉方式。

关键词


瑞芬太尼；快速康复；复合麻醉；中小手术

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参考


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DOI: https://doi.org/10.12346/pmr.v4i2.6099

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