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临床研究 | 更新时间:2015-07-24
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舒芬太尼与芬太尼复合异丙酚静脉麻醉的比较分析
Comparison of sufentanil with fentanyl combined with propofol in intravenous anesthesia

微创医学 201502期 页码:173-175+238

作者机构:(广东省普宁市人民医院,普宁市515300)

基金信息:作者简介:梁海慧(1982~),男,本科,主治医师,研究方向:临床麻醉与危重病。(收稿日期:2015-01-06 修回日期:2015-03-11)

DOI:10.11864/j.issn.1673.2015.02.17

  • 中文简介
  • 英文简介
  • 参考文献
目的 比较舒芬太尼与芬太尼复合异丙酚的静脉麻醉效果。方法 择期行外科手术治疗的150例患者为研究对象,按随机数字法分为观察组和对照组各75例,观察组予以舒芬太尼复合异丙酚静脉麻醉,对照组予以芬太尼复合异丙酚静脉麻醉,比较两组患者术后苏醒时间及血流动力学变化情况。结果 观察组患者麻醉维持时间、呼之睁眼时间、意识清醒言语流畅时间分别为(86.35±25.63)min、(6.02±2.23)min、(13.14±2.71)min,对照组分别为(95.63±23.78)min、(19.11±4.92)min、(25.65±9.02)min。观察组术后苏醒时间明显短于对照组,组间存在显著性差异(P<0.05)。与T0时相比,两组血压、心率、心率收缩压乘积均明显下降(P<0.05),但组间无显著性差异(P>0.05)。对照组T2时血压、心率及心率收缩压乘积均较T0时明显增加,组内存在显著性差异(P<0.05),但观察组患者T2时各项指标与T0时比较,差异无统计学意义(P>0.05)。观察组T2~T6时心率收缩压乘积明显低于对照组,组间比较,差异有统计学意义(P<0.05)。结论 舒芬太尼复合异丙酚用于静脉麻醉时,可大大缩短术后苏醒时间,明显减轻对血流动力学的影响。
Objective To compare the effects of sufentanil with fentanyl combined with propofol in intravenous anesthesia. Methods 150 patients undergoing surgical operation were randomly divided into observation group and control group, 75 cases in each group. The observation group was given sufentanil and propofol intravenous anesthesia, the control group received fentanyl and propofol intravenous anesthesia. The recovery time and hemodynamics changes were compared between the two groups. Results In the observation group, anesthesia duration, called the open time, conscious verbal time were (86.35±25.63) min, (6.02±2.23) min, and (13.14±2.71) min, while in the control group they were (95.63±23.78) min, (19.11±4.92) min, and (25.65±9.02) min. The postoperative recovery time of the observation group was significantly shorter than that of the control group (P<0.05). Compared with T0, the blood pressure, heart rate, heart rate pressure product were decreased significantly (P<0.05), and no significant differences were observed between two groups (P>0.05). The blood pressure, heart rate and the rate pressure product at T2 period were lower than those at T0 period in the control group (P<0.05), while there were no differences between the T2 indexes and T0 indexes in the observation group (P>0.05). The T2-T6 rate pressure product of observation group was significantly lower than those of the control group (P<0.05). Conclusion Sufentanil combined with propofol in intravenous anesthesia, can greatly shorten the postoperative recovery time, significantly reduced the impacts on hemodynamics.
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