不同药物麻醉下行腹腔镜结直肠癌根治术的麻醉恢复质量的比较  

The Analysis of Different Anesthesia Recovery Quality for Colorectal Cancer Patients Adopting Laparoscopic Radical Treatment

作　　者：吕胜[1] 

机构地区：[1]攀枝花市中心医院麻醉科,四川攀枝花617067

出　　处：《辽宁医学院学报》2013年第5期46-48,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨单独舒芬太尼与舒芬太尼复合瑞芬太尼麻醉用于腹腔镜下结直肠癌根治术病人麻醉恢复质量差异。方法共纳入100例我院行腹腔镜下结直肠癌根治术治疗患者,采用随机数字法平均分为A、B两组,A组行单独舒芬太尼麻醉,B组行舒芬太尼复合瑞芬太尼麻醉。记录两组患者的苏醒时间、拔除气管插管时间及不良反应的发生情况。结果 A组患者苏醒时间(9.6±4.5)min、拔除气管插管时间(17.7±3.7)min、定向力恢复时间(16.8±4.1)min,与B组患者苏醒时间(9.8±4.3)min、拔除气管插管时间(17.8±4.2)min、定向力恢复时间(17.0±4.4)min相比差异不明显(P>0.05)。术后A组患者出现呛咳14例(28.0%),躁动15例(30.0%),寒战21例(42.0%),心动过速19例(38.0%),明显多于B组患者呛咳4例(8.0%),躁动5例(10.0%),寒战9例(18.0%),心动过速10例(20.0%),两组间比较差异有统计学意义(P<0.05);A组恶心呕吐10例(20.0%),与B组9例(18.0%)比较差异不明显(P>0.05)。结论腹腔镜下结直肠癌根治术病人行舒芬太尼复合瑞芬太尼麻醉恢复质量较好,且临床不良反应的发生率较单独使用舒芬太尼麻醉少,值得临床推广应用。Objective To analyze the differences of recovery quality of anesthesia with sufentanil alone or sufentanil combined with remifentanil for laparoscopic colorectal cancer patients. Methods A total of 100 patients, who underwent laparoseopic radical cure of eolorectal cancer, were divided into Group A and Group B randomly. Group A were given sufentanil for anesthesia, while Group B were given sufentanil combined with remifentanil for anesthesia. The awakening time, time of removing tracheal intubation and the adverse reactions were recorded. （ P 〉 0. 05 ）. Results The revival time of Group A was （9. 6 ＋ 4. 5） min, the time of removing tracheal intubation was （ 17.7 -＋ 3.7） min, orientation recov- ery time was （ 16. 8 ＋4. 1） min. The revival time of Group B was （9.8 ＋4. 3） rain, time of tracheal intubation removal was （17.8 ＋4. 2） min, orientation recovery time was （17.0 ＋ 4.4 min）. The differences between Group A and B were not obvious （P 〉0. 05）. Choking 14 cases of patients （28.0%） in Group A experienced postoperative cough, agitation patients made up 30. 0% （15 cases）, 21 cases of shivering patients （42. 0%）, 19 cases of tachycardia patients （38.0%）. In Group B, there were 4 cases of choking cough （8.0%）, 5 agitation cases （ 10. 0% ）, 9 shivering cases （ 18.0% ） , and 10 tachycardia cases （20. 0% ） respectively. There was significant difference between Group A and B （P 〈0. 05）. There were in Group A 10 cases of Nausea and vomiting （20. 0% ）, compared with 9 cases in Group B （ 18.0% ）, with obvious difference （ P 〉 0. 05 ）. Conclusion The recovery after sufentanil combined with remifentanyl anesthesia after colorectal cancer radical prostatectomy is of good quality, with fewer adverse reactions than those with sufentanil alone, which is well worthy to be popularized.

关 键 词：舒芬太尼 瑞芬太尼 结直肠癌根治术 

分 类 号：R614[医药卫生—麻醉学]