舒芬太尼与瑞芬太尼在急诊脑外伤手术麻醉中应用研究  

Sufentanil in emergency brain injury with fentanyl anesthesia in applied research

作　　者：林山[1] 蒋晓芳[1] 徐涛[2] 

机构地区：[1] 武警浙江总队杭州医院肿瘤二科, 浙江 杭州310051 [2] 武警浙江总队杭州医院麻醉科, 浙江 杭州310051

出　　处：《中国急救医学》2014年第4期350-352,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的：探讨舒芬太尼、瑞芬太尼在急诊脑外伤手术麻醉中应用效果。方法将2010-09～2012-06我院收治的87例颅脑外伤急诊手术患者随机分为两组，分别应用舒芬太尼和瑞芬太尼进行麻醉，比较两组患者的血压、心率，麻醉时间、苏醒时间、气管拔管时间及住院时间，观察两组患者术后不良反应发生率。结果两组患者的血压、心率比较差异均无统计学意义（P＞0．05）。舒芬太尼组患者的苏醒时间、气管拔管时间及住院时间均低于瑞芬太尼组（P＜0.05）。两组麻醉时间、术后不良反应发生率比较差异无统计学意义（ P＞0．05）。结论舒芬太尼应用于急诊脑外伤手术麻醉中具有可控性好、苏醒快、不良反应少的优点，能够为脑外伤急诊手术提供满意的麻醉效果，保障手术顺利进行。Objective To study the sufentanil, rui fentanyl application effect in the emergency brain trauma surgery anesthesia . Methods Between September 2010 and June 2012 emergency operation in our hospital 87 cases of craniocerebral injury patients were randomly divided into two groups, respectively using sufentanil and fentanyl anesthesia , comparing two groups of patients＆#39;blood pressure, heart rate, anesthesia time, wake up time, tracheal extubation time and length of hospital stay, postoperative incidence of adverse reactions observed two groups of patients .Results Two groups of patients＆#39;blood pressure , heart rate comparative differences between groups had no statistical significance （P＆gt;0.05）.Sufentanil group of patients with waking time , tracheal extubation time, and length of hospital stay were lower than fentanyl group , differences were statistically significant （ P ＆lt;0.05 ） .Two groups of anesthesia time , the incidence of adverse reactions there was no statistically significant difference （ P ＆gt;0.05）.Conclusion Sufentanil used in emergency surgery anesthesia , traumatic brain injury has good controllability , waking up the advantages of quick , less adverse reaction , can provide satisfactory anesthetic effect of emergency management for brain injury , the operation smoothly.

关 键 词：舒芬太尼 瑞芬太尼 麻醉 脑外伤 急诊手术 

分 类 号：R473.6[医药卫生—护理学]