舒芬太尼和瑞芬太尼在外科全身麻醉手术中应用效果的对比分析  

Comparative Analysis of Sufentanil and Remifentanil Anesthesia in Surgical Application Effect of Surgery

作　　者：马秀英[1] 

机构地区：[1]新疆和田地区人民医院,新疆848000

出　　处：《当代医药论丛》2014年第9期9-11,共3页

摘　　要：目的:探讨舒芬太尼和瑞芬太尼在外科全身麻醉手术中的应用价值。方法:将2012年3月至2014年3月我院收治的128例行外科全身麻醉手术的患者分为观察组和对照组,为58例对照组患者使用舒芬太尼进行全身麻醉手术,为70例观察组患者使用瑞芬太尼进行全身麻醉手术,比较两组患者在术后的生命体征、恢复情况及发生不良反应的情况。结果:两组患者术后的生命体征相比较,差异不显著(P>0.05),无统计学意义。两组患者术后的恢复情况相比较,差异显著(P<0.05),有统计学意义。两组患者术后发生不良反应的几率相比较,差异显著(P<0.05),有统计学意义。结论:与舒芬太尼相比,应用瑞芬太尼为患者进行全身麻醉手术后其自主呼吸恢复的时间、麻醉苏醒的时间、拔管时间、定向力恢复的时间均较短,其发生术后不良反应的几率较低,此法值得在临床上推广应用。Objective: To summarize the clinical experience of the individual, sufentanil and remifentanil in anesthesia general anesthesia in surgical operation and its clinical value. Methods: 128 cases of surgery in our hospital from 2012 March to 2014 March were general anesthesia operation in patients with clinical data were retrospectively analyzed, including choice of sufentanil anesthesia in 58 cases of systemic, choice of remifentanil in 70 cases of systemic, comparison of 2 different anesthesia drug anesthesia of vital signs, postoperative recovery, adverse reaction the occurrence of. Results: the two groups of patients after anesthesia vital signs were no significant difference(P&amp;gt; 0.05); there was a significant recovery after operation in the two groups compared to the difference(P < 0.05); lidocaine anesthesia group the incidence of adverse reaction was XX, articaine anesthesia group the incidence of adverse reaction was XX, two groups of anesthesia adverse reaction of the differences were statistically significant(P < 0.05).Conclusion: remifentanil anesthesia for surgical operation anesthesia effect is more ideal than sufentanil, less influence of vital signs after anesthesia, faster postoperative recovery, less side effects of anesthesia, with good clinical application value.

关 键 词：舒芬太尼 瑞芬太尼 全身麻醉 效果 

分 类 号：R614.2[医药卫生—麻醉学]