瑞芬太尼全凭静脉麻醉在支撑喉镜手术的应用  

Clinical use of reminfentanil total intravenous anesthesia in patients undergoing suspensive laryngoscope

作　　者：唐华东[1] 林玉霜[1] 张文清[1] 徐三荣[1] 

机构地区：[1]福建医科大学附属漳州市医院麻醉科,福建漳州363000

出　　处：《中国当代医药》2010年第31期69-70,共2页China Modern Medicine

摘　　要：目的:观察瑞芬太尼联合异丙酚全凭静脉麻醉在支撑喉镜声带息肉切除术中的麻醉效果。方法:择期行支撑喉镜声带息肉切除术的患者40例,ASAⅠ或Ⅱ级,术前检查均无重要脏器疾病史及药物过敏史。将40例患者随机分为2组,每组各20例:异丙酚-芬太尼全麻组为对照组(F组),异丙酚-瑞芬太尼全麻组为观察组(R组)。记录两组患者的心血管反应、苏醒拔管时间及苏醒质量。结果:①R组患者血流动力学变化比F组平稳(P<0.05);②R组患者苏醒拔管时间明显短于F组(P<0.05),拔管即刻及离开手术室送PACU时OAA/S评分R组明显高于F组(P<0.05)。结论:瑞芬太尼联合异丙酚全凭静脉麻醉在支撑喉镜声带息肉切除术,具有心血管反应轻、苏醒快等优点,是一种较理想的麻醉方法。Objective：To evalute propofol with remifentanil during operation of suspension laryngoscopy.Methods：The elective laryngoscope polyp resection 40 patients,ASA Ⅰ or class Ⅱ,no vital organs preoperative medical history and drug allergies.The 40 patients were randomly divided into two groups,20 patients in each group：propofol-fentanyl anesthesia group as a control group（F group）,propofol-remifentanil anesthesia group in the observation group（R group）.Cardiovascular response to the two groups of patients,recovery time and wake up the quality of extubation.Results：① R hemodynamic changes in patients stable than the F group（P〈0.05）;②R group were awake extubation time was significantly shorter than F group（P〈0.05）,tracheal extubation,and PACU time to leave the operating room to send OAA/S Rated R was significantly higher than F group（P〈0.05）.Conclusion：Remifentanil and propofol total intravenous anesthesia in the excision of vocal polyps laryngoscope,with the cardiovascular response to light,rapid recovery,etc.,is an ideal method of anesthesia.

关 键 词：瑞芬太尼 支撑喉镜 声带息肉切除术 

分 类 号：R739.65[医药卫生—肿瘤]