丙泊芬复合瑞芬太尼无痛技术在手术室外麻醉应用的可行性分析  

The Feasibility of Pain- free Technique——Propofol Combined with Remifentanil for External Anesthesia in the Operating Room

作　　者：唐霞[1] 李炜[1] 洪述文 尹泓[3] 

机构地区：[1]公安县人民医院,湖北公安434300 [2]公安县血防医院,湖北公安434300 [3]长江大学第一临床医学院,湖北荆州434000

出　　处：《现代医院》2016年第11期1609-1610,共2页Modern Hospitals

摘　　要：目的探讨丙泊酚复合瑞芬太尼无痛技术在手术室外麻醉应用的效果及安全性。方法将本院2015年全年行无痛诊疗的患者随机分为两组,观察组以丙泊酚复合瑞芬太尼(异丙酚9 m L(90 mg)复合瑞芬太尼1m L(10μg))镇痛,对照组以丙泊酚镇痛,术中记录患者呼吸、脉搏、氧饱和度、加药次数,并对镇痛及苏醒程度进行分级。结果观察组患者呼吸循环抑制发生率及加药次数均明显低于对照组,镇痛完全程度观察组高于对照组,苏醒分级观察组优于对照组。结论无痛诊疗中使用丙泊酚复合瑞芬太尼"9+1"模式操作简便,不良反应少,苏醒快,安全可行。Objective To evaluate the effect and safety of pain - free technique propofol combined with remifen- tanil for external anesthesia in the operating room. Methods Patients who underwent painless treatment in our hospital through the whole year of 2015 were randomly divided into two groups. The observation group used 9ml （90mg） propofol combined with 1 ml （lOtxg） remifentanil for analgesia while the control group used proporol. During the operation, patients＇ respiration, pulse, oxygen saturation and times of administration were recorded. Meanwhile, the degrees of analgesia and awareness were graded. Results The respiratory depression frequency and times of administration of the observation group were significantly less than those of the control group. The degrees of analgesia and awareness in the observation group were higher than those of control group. Conclusion ＇ 9 ＋ 1 ＇ mode propofol combined with remifentanil in pain - free treat- ment is simple, safe and feasible with only few side effects and the advantage of quick awakening.

关 键 词：手术室外麻醉 无痛技术 丙泊酚 瑞芬太尼 

分 类 号：R614.24[医药卫生—麻醉学]