瑞芬太尼复合右美托咪定在心脏手术中的麻醉效果及对患者血流动力学的影响  

作　　者：宋永刚[1] 

机构地区：[1]山东省胸科医院麻醉科,山东济南250013

出　　处：《检验医学》2016年第B11期292-293,共2页Laboratory Medicine

摘　　要：目的探讨瑞芬太尼复合右美托咪定在心脏手术中的麻醉效果以及对手术患者血流动力学的影响。方法选择2015年1月至2016年3月在我院住院治疗的需心脏手术的患者100例．随机分成观察组和对照组．对照组患者在手术期间采用瑞芬太尼进行麻醉，观察组患者采用瑞芬太尼复合右美托咪定进行麻醉．对比两组患者麻醉效果及血流动力学变化情况。结果观察组患者麻醉效果更好、达96．0％，显著高于对照组的68．0％，差异比较具有统计学意义（P〈0．05）；麻醉后，观察组MAP及HR更小．相比于对照纰差异娃著（P％0．05）。结论采用瑞芬太尼复合右茭托咪定麻醉效果突出．更利于维持患者血流动力学稳定，使得在临床上广泛推广。Objective to investigate the effects of fentanyl compound right beautys microphones set in the heart surgery anesthesia effect and the influence of hemodynamies in patients with surgery. Methods between January 2015 and March 2015 hospitalized in our hospital treatment of 100 patients with cardiac surgery, randomly divided into observation group and control group, control group patients with rui fentanyl anesthesia during the operation, observation group of patients using fentanyl compound right beautiful mi anesthesia, com- pared two groups of patients with anesthesia effect and hemodynamic changes. Results the observation group of patients anesthesia effect is better, was 96.0 %, significantly higher than that of control group 68.0 %, difference is statistically significant （P〈0.05） ; After anesthesia, observation group of MAP and HR smaller, compared with the control group significant difference （P〈0.05）. Conclusion using fentanyl eompound right beautiful mi anesthesia effect is prominent, more conducive to maintain hemodynamic stability, is worth popularizing in clinic widely.

关 键 词：瑞芬太尼 右美托咪定 心脏手术 血流动力学 

分 类 号：R614[医药卫生—麻醉学]