首页|咪达唑仑联合瑞芬太尼在脊椎骨折手术麻醉中的应用研究

咪达唑仑联合瑞芬太尼在脊椎骨折手术麻醉中的应用研究

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目的 研究分析咪达唑仑联合瑞芬太尼在脊椎骨折手术麻醉中的临床应用.方法 选取浙江省武警总队嘉兴医院2014年2月~2016年12月收治的80例脊椎骨折患者作为本次研究过程中的研究对象.随机分为对照组和实验组,各40例.对照组患者进行咪达唑仑麻醉,实验组患者进行咪达唑仑联合瑞芬太尼麻醉.比较分析实验组患者与对照组患者生命体征指标以及麻醉苏醒时间和麻醉效果指标.结果 经过对应的麻醉方式后,实验组患者呼吸频率以及心率显著高于对照组患者,差异具有统计学意义(P<0.05).对照组与实验组血氧饱和度比较差异无统计学意义.实验组患者呼吸恢复时间、睁眼时间和拔管时间均显著低于对照组患者,差异具有统计学意义(P<0.05).实验组患者麻醉优良率为95.0%,对照组患者麻醉优良率75.0%.由此可得,对照组患者的麻醉优良率显著低于实验组患者,实验组患者OAAS评分显著高于对照组,差异具有统计学意义(P<0.05).结论 咪达唑仑联合瑞芬太尼在脊椎骨折手术麻醉中的应用,麻醉效果较好,患者苏醒时间较快,具有临床进一步推广和应用的意义.
Application of midazolam combined with remifentanil in anesthesia of spinal fractures
Objective To study the clinical application of midazolam combined with remifentanil in spinal anesthesia.Methods80 cases of vertebral fractures in Jiaxing hospital, Zhejiang armed police corps from February 2014 to December 2016 were selected as the research object in this study.They were randomly divided into two groups: control group and experimental group, each group had a total of 40 cases.Patients in the control group were treated with midazolam anesthesia, the experimental group was treated with midazolam combined with remifentanil anesthesia.Comparative analysis of the experimental group and control group of patients with vital signs and anesthesia recovery time and anesthetic effect indicators.ResultsAfter the corresponding anesthesia, the respiratory frequency and heart rate of the experimental group were significantly higher than those of the control group, with statistical difference (P<0.05).There was no significant difference between the control group and the experimental group, no statistical significance.The recovery time, the time of open eyes and extubation time of the experimental group were significantly lower than those of the control group (P<0.05).The excellent rate of anesthesia in the experimental group was 95.0%, and the excellent rate of anesthesia in the control group was 75.0%.As a result, the excellent rate of anesthesia in the control group was significantly lower than that in the experimental group, the OAAS score of the experimental group was significantly higher than that of the control group, with statistical difference (P<0.05).ConclusionThe application of midazolam combined with remifentanil in anesthesia of spinal fracture surgery, anesthesia effect is good, the patient's recovery time is faster, with the clinical significance of further promotion and application.

midazolamremifentanilspinal fracture surgeryanesthesia effect

孙昊天、周利

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浙江省武警总队嘉兴医院 麻醉科,浙江 嘉兴 314000

咪达唑仑 瑞芬太尼 脊椎骨折手术 麻醉效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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