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探讨舒芬太尼在全身麻醉中的应用效果

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目的 探讨舒芬太尼在全身麻醉中的应用效果.方法 选取全身麻醉手术患者 150 例,随机法分为对照组及干预组,每组 75 例.两组患者均使用瑞芬太尼-丙泊酚静脉复合麻醉,手术完成后,对照组静脉注射生理盐水,干预组静脉注射舒芬太尼.比较两组麻醉效果,不同时间点的疼痛情况,苏醒时间、自主呼吸恢复时间、气管插管拔出时间,苏醒期躁动发生情况.结果 干预组麻醉总有效率98.7%高于对照组的 84.0%(P<0.05).干预组术后 30 min、1 h、3 h、6 h、1 d、2 d的视觉模拟评分法(VAS)评分分别为(3.0±0.9)、(3.4±1.1)、(3.9±1.3)、(3.1±0.8)、(2.1±0.7)、(1.5±0.3)分,低于对照组的(3.9±1.1)、(4.3±1.4)、(5.5±1.5)、(5.1±1.5)、(3.3±1.1)、(2.5±0.8)分(P<0.05).干预组苏醒时间、自主呼吸恢复时间、气管插管拔出时间分别为(27.4±2.5)、(8.4±1.3)、(7.7±1.1)min,短于对照组的(38.7±4.2)、(13.5±2.1)、(14.1±1.4)min(P<0.05).干预组苏醒期躁动发生率 16.0%低于对照组的 50.7%(P<0.05).结论 全身麻醉手术患者进行舒芬太尼麻醉与镇痛效果较好,有利于减轻患者疼痛感,加快麻醉恢复时间,使用安全性比较好,临床应用价值高.
Investigation on the application effect of sufentanil in general anesthesia
Objective To explore the application effect of sufentanil in general anesthesia.Methods A total of 150 patients undergoing general anesthesia were randomly divided into a control group and an intervention group,with 75 cases in each group.Patients in both groups were given combined intravenous anesthesia with remifentanil and propofol.After the operation,the control group was given intravenous saline,and the intervention group was given intravenous sufentanil.The anesthetic effect,pain at different time points,recovery time,spontaneous breathing recovery time,tracheal tube extraction time and agitation during recovery were compared between the two groups.Results The total effective rate of anesthesia in the intervention group was 98.7%,which was higher than 84.0%in the control group(P<0.05).At 30 min,1 h,3 h,6 h,1 d and 2 d after surgery,the visual analogue scale(VAS)scores of the intervention group were(3.0±0.9),(3.4±1.1),(3.9±1.3),(3.1±0.8),(2.1±0.7)and(1.5±0.3)points,which were lower than(3.9±1.1),(4.3±1.4),(5.5±1.5),(5.1±1.5),(3.3±1.1)and(2.5±0.8)points of the control group(P<0.05).The recovery time,spontaneous respiration recovery time and tracheal tube extraction time of the intervention group were(27.4±2.5),(8.4±1.3)and(7.7±1.1)min,which were shorter than(38.7±4.2),(13.5±2.1)and(14.1±1.4)min of the control group(P<0.05).The incidence of agitation in the intervention group was 16.0%,which was lower than 50.7%in the control group(P<0.05).Conclusion Sufentanil anesthesia and analgesia for patients undergoing general anesthesia surgery have better effects,which is conducive to reducing the pain of patients,speeding up the recovery time of anesthesia,and has high safety and clinical application value.

General anesthesia drugsSufentanilPropofolMechanism of action

蔡文恒、钟帝钦、郑如婷

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516400 海丰县彭湃纪念医院麻醉科

全身麻醉药 舒芬太尼 丙泊酚 作用机制

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(5)
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