舒芬太尼和芬太尼应用于肝癌切除术患者苏醒质量的比较  

Comparison of sufentanil and fentanyl in the recovery of patients with hepatectomy

作　　者：闭厚辉 张兴[1] 黄小青 龚道亮 Bi Houhui;Zhang Xing;Huang Xiaoqing;Gong Daoliang(The Second Department of Anesthesiology,the First People's Hospital of Qinzhou City,Guangxi 535000)

机构地区：[1]广西钦州市第一人民医院麻醉科二区,535000

出　　处：《中国社区医师》2018年第10期38-39,共2页Chinese Community Doctors

摘　　要：目的:探讨舒芬太尼与芬太尼应用于肝癌切除术中患者苏醒质量的疗效。方法:收治全麻下行肝癌切除术患者78例,随机分为S组(舒芬太尼)与F组(芬太尼),分别以舒芬太尼与芬太尼为主的复合静脉麻醉。结果:S组在术后苏醒时间、定力恢复时间、自主呼吸恢复时间和拔管时间低于F组,术后镇静评分优于F组,拔管后不同时间点的VAS评分都低于F组(P<0.05)。结论:肝癌切除术患者应用舒芬太尼,镇痛效果好,术后苏醒快,恢复自主呼吸时间短,安全性更高。Objective:To investigate the effect of sufentanil and fentanyl on the recovery of the patients during the resection of liver cancer.Methods:Atotal of 78 patients undergoing hepatectomy under general anesthesia were selected.They were randomly divided into the S group(sufentanil)and the F group(fentanyl),and sufentanil and fentanyl intravenous anesthesia were taken respectively in the two groups.Results:The recovery time,force recovery time,spontaneous breathing recovery time and extubation time in the S group were lower than those in the F group,and sedation score after operation was better than that in the F group,and VAS scores at different time points after extubation were lower than those in the F group(P<0.05).Conclusion:Using of sufentanil in patients with hepatectomy has good analgesic effect.It can quick recovery after operation,with short recovery time and higher safety.

关 键 词：舒芬太尼 芬太尼 肝癌切除术 

分 类 号：R614[医药卫生—麻醉学] R735.7[医药卫生—外科学]