首页|瑞马唑仑与丙泊酚在乳腺癌改良根治术患者中的应用对照分析

瑞马唑仑与丙泊酚在乳腺癌改良根治术患者中的应用对照分析

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目的 对比乳腺癌改良根治术患者采用瑞马唑仑与丙泊酚麻醉取得的效果.方法 随机选取2020年8月—2023年7月济南市第一人民医院收治的实施改良根治术的60例乳腺癌患者,按照随机数表法分为两组,各30例.对照组应用丙泊酚进行麻醉诱导与麻醉维持,研究组应用瑞马唑仑进行麻醉诱导与麻醉维持.针对两组不同时间点的心率与平均动脉压、手术时间、苏醒时间、阿片类药物用量,麻醉不良反应予以对比.结果 与对照组手术开始10 min、拔管后的结果相比,研究组心率、平均动脉压指标更高,差异有统计学意义(P均<0.05).两组手术时间、阿片类药物用量对比,差异无统计学意义(P均>0.05);研究组苏醒时间(6.80±2.56)min短于对照组(9.03±2.00)min,差异有统计学意义(t=3.760,P<0.05).研究组麻醉不良反应发生率(6.67%)与对照组(13.33%)相比,差异无统计学意义(χ2=0.185,P>0.05).结论 相较于丙泊酚,瑞马唑仑能够有效维持乳腺癌改良根治术患者的血流动力学稳定性,缩短苏醒时间,安全性佳,具有临床应用价值.
Controlled Analysis of the Application of Remimazolam and Propofol in Patients Undergoing Modified Radical Breast Cancer Surgery
Objective To compare the effects of anesthesia achieved by remimazolam and propofol in patients undergo-ing modified radical breast cancer surgery.Methods A total of 60 breast cancer patients who underwent modified radi-cal mastectomy in Jinan First People's Hospital from August 2020 to July 2023 were randomly selected and divided into two groups according to the random number table method,with 30 cases in each group.The control group was treated with propofol for anesthesia induction and maintenance,and the study group was treated with remimazolam for anesthesia induction and maintenance.Heart rate and mean arterial pressure at different time points,operation time,recovery time,opioid dosage,and adverse reactions of anesthesia were compared between the two groups.Results Compared with the results of the control group 10 min after the operation and after extubation,the heart rate and mean arterial pressure indexes of the study group were higher,and the differences were statistically significant(both P<0.05).There was no significant difference in operation time and opioid dosage between the two groups(both P>0.05).The recovery time of the study group was(6.80±2.56)min,which was shorter than(9.03±2.00)min of the control group,and the difference was statistically significant(t=3.760,P<0.05).There was no significant difference in the inci-dence of adverse reactions of anesthesia between the study group(6.67%)and the control group(13.33%)(χ2=0.185,P>0.05).Conclusion Compared with propofol,remimazolam can effectively maintain the hemodynamic stability of pa-tients undergoing modified radical breast cancer surgery,shorten the time of awakening,with good safety,and has clinical application value.

RemimazolamPropofolRadical Breast Cancer Surgery

柴永健、葛伟、杜市立

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济南市第一人民医院麻醉科,山东济南 250000

山东省济南市平阴区中医院麻醉科,山东济南 250400

济南市第一人民医院外科,山东济南 250000

瑞马唑仑 丙泊酚 乳腺癌根治术

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(1)
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