舒芬太尼、丙泊酚全凭静脉麻醉病人苏醒期的评估  

IMPACT OF TOTAL INTRAVENOUS ANESTHESIA WITH SUFENTANIL AND PROPOFOL ON PATIENTS DURING THE AWAKENING PERIOD

作　　者：钱耀亮[1] 黄乔东[1] 

机构地区：[1]广州医学院第二附属医院,广东广州510260

出　　处：《现代医院》2008年第7期50-51,共2页Modern Hospitals

摘　　要：目的观察舒芬太尼、丙泊酚全凭静脉麻醉病人苏醒期的表现与传统方法比较有无优势。方法择期行神经外科手术的病人96例,ASAⅠ～Ⅱ级,随机分为3组,每组32人:A组为舒芬太尼、丙泊酚全凭静脉麻醉组,B组为丙泊酚、异氟醚静吸复合全麻组,C组为异氟醚吸入全麻组。三组病人麻醉诱导方式相同。手术结束停止麻醉,观察病人麻醉苏醒时间、苏醒期的精神状态、生命体征变化以及气道反应。结果A组病人苏醒时间与B、C两组相似(p>0.05);苏醒期病人的安静程度A组优于B、C两组(p<0.05);吸痰时病人的咳嗽反应A组明显低于B、C两组(p<0.01);拔管前后三组生命体征的变化无明显差异(p>0.05)。结论舒芬太尼、丙泊酚全凭静脉麻醉病人在苏醒期具有苏醒快速、平稳,气道反应小,病人舒适度高的特点,较传统方法有一定优势。Objective To compare the impact of total intravenous anesthesia with sufentanil and propofol on patients during the awakening period to that of traditional methods. Methods 96 patiens were randomly divided into the total intravenous anesthesia group with sufentanil and propofol （ group A, n = 32） ,intravenous-inhalation combined anesthesia group with propofol and isoflurane （group B,n=32）, and inhalation anesthesia group with isoflurane （ group C,n = 32）. The awakening time, spirit status,the change of vital signs and cough reaction were recorded. Results There were no significant differences in awakening time and vital signs before and after extubation among three groups（p〉0.05）, the sedation level of patients in Group A was better than that of patients in Group B and Group C（p〈0.05） ,cough reaction of Patiens in Group A was better than that of patients in Group B and Group C（p〈0.01）. Conclusion Total intravenous anesthesia with sufentanil and propofol have the advantages of quicker conscious recovery and slight gas tract reaction when compared to traditional method.

关 键 词：舒芬太尼 丙泊酚 全凭静脉麻 

分 类 号：R614.24[医药卫生—麻醉学] R473.6[医药卫生—外科学]