急腹症合并感染休克患者的麻醉分析  

Analysis of the Anesthesia Application on Patients With Acute Abdomen Complicated by Infectious Shock

作　　者：金宗山 

机构地区：[1]双鸭山双矿医院有限公司麻醉科,黑龙江双鸭山155100

出　　处：《中国卫生标准管理》2016年第20期182-183,共2页China Health Standard Management

摘　　要：目的分析急腹症合并感染休克患者麻醉方法与效果。方法纳入2015年1月-2016年1月我院接诊急腹症合并感染休克患者58例,依照就诊先后顺序分组。29例采用七氟醚复合丙泊酚静吸复合麻醉,入对照组。29例采用瑞芬太尼复合丙泊酚全凭静脉麻醉,入观察组。对比两组的麻醉效果。结果两组中观察组疼痛评分低,自主呼吸恢复、拔管和麻醉清醒时间短,差异有统计学意义（P〈0.05）。结论急腹症合并感染休克术中麻醉采用瑞芬太尼复合丙泊酚全凭静脉麻醉,效果好。Objective To make an analysis on anesthesia application methods and effects to patients with acute abdomen complicated by infectious shock. Methods Chose 58 patients with acute abdomen complicated by infectious shock who were treated in hospital from January 2015 to January 2016 to study and separated them into groups according to their hospital-visitation sequence. 29 patients in control group were given combination anesthesia application of Sevoflurane and Propofol. While,another 29 patients in study group were given intravenous anesthesia in application of Remifentanil combined with Propofol,and then compared anesthesia application effects between two groups. Results For patients in study group,their pain-assessment scores were higher,auto-respiratory recovery time was quicker and interval between tube-extraction and patients＇ awakening time were shorter compared to patients in control group,there were differentials between two groups and such differentials had statistic value（P〈0.05）. Conclusion Intravenous anesthesia in application of Remifentanil combined with Propofol are quite effective for patients with acute abdomen complicated by infectious shock.

关 键 词：急腹症 感染休克 麻醉 

分 类 号：R614[医药卫生—麻醉学]