摘要
目的 探讨丙泊酚复合小剂量芬太尼联合心理干预在骨科手法复位麻醉中的应用.方法 选取2015年8月~2016年12月本院接受治疗的120例长骨闭合性骨折以及急性踝关节、肩关节等脱位患者,分析患者麻醉有效率、手术时间、患者苏醒时间、丙泊酚追加量及总用量,并检测其给药前3min、给药后1、3、5min以及清醒时的SpO2、HR、MAP、RR的值.2组患者经治疗后,均给予护理干预,如常规饮食指导、营养支持、健康教育等.结果 实验组患者麻醉效果总有效率要高于对照组,2者差异具有统计学意义(P<0.05);同时所有患者给药后1min、3min、5min的体征均低于药前3min体征,差异具有统计学意义(P<0.05),其清醒后的体征与给药前3min差异无统计学意义;实验组患者苏醒时间、丙泊酚追加量、丙泊酚总用量比对照组低,差异具有统计学意义(P<0.05);而2组患者的手术时间相似,差异无统计学意义.结论 综上所述,丙泊酚复合小剂量芬太尼对于采取骨科手法复位进行治疗的患者麻醉效果明显,值得临床上推广使用.
Abstract
Objective nvestigate the propofol combined with fentanyl anesthesia in orthopedic manual reduction applications.MethodsAugust 2015 to December 2016 in our hospital treated 120 cases of acute long bone closed fracture and ankle, shoulder dislocation and other patients, efficient analysis anesthesia, surgery time, patient recovery time, propofol is added volume and total volume, and detection 3min, 1min, 3min, 5min and waking SpO2, HR, MAP, RR values.Two groups of patients after treatment, were given nursing intervention, such as routine diet guidance, nutrition support, health education.after administration before it is administered.Resultsanesthetic effect experimental group total efficiency is higher, the difference was statistically significant (P<0.05);after simultaneous administration of all patients 1min, 3min, 5min signs were lower than prodrug 3min signs, the difference statistically significant (P<0.05), after clear signs of its former administration 3min with no significant difference;experimental group recovery time, propofol bolus of propofol than with total control were lower, the difference was statistically significant (P<0.05);and the two groups were similar to the operation time, the difference was not statistically significant.ConclusionIn summary, propofol combined with fentanyl anesthesia for patients to take the treatment of orthopedic manual reduction obviously worthy of clinical use.
NETL
NSTL
维普
万方数据