瑞芬太尼联合丙泊酚应用于颅脑手术麻醉的临床效果  

Clinical Effect of Remifentanil Combined with Propofol on Anesthesia of Craniocerebral Operation

作　　者：周强[1] Zhou Qiang(Tianjin Huanhu Hospital, Tianjin 300350)

机构地区：[1]天津市环湖医院

出　　处：《数理医药学杂志》2019年第8期1196-1198,共3页Journal of Mathematical Medicine

摘　　要：目的:探究瑞芬太尼联合丙泊酚应用于颅脑手术麻醉的临床效果。方法:选取于某院行颅脑手术治疗的80例患者作为观察对象,通过随机数表法将其分为A、B两组,A组采用丙泊酚+芬太尼进行麻醉,B组采用丙泊酚+瑞芬太尼进行麻醉,比较两组患者的麻醉恢复情况以及不同时段的心率(HR)、平均动脉压(MAP)水平。结果:B组的T2、T3的HR与MAP均明显低于A组(P<0.05);B组的睁眼时间、呼吸恢复时间以及气管拔管时间均明显比A组短(P<0.05)。结论:瑞芬太尼联合丙泊酚应用在颅脑手术中可以显著改善患者血流动力学的稳定情况,缩短患者的麻醉恢复时间,因此该护理方法具备临床推广价值。Objective:To investigate the clinical effects of remifentanil combined with propofol in anesthesia of craniocerebral surgery. Methods: 80 patients underwent cranial surgery in a hospital were selected as observation subjects. They were divided into two groups by A and B according to the random number method. The patients in group A were treated with propofol+fentanyl and the group B was treated with propofol+remifentanil. The recovery of anesthesia, heart rate(HR) and mean arterial pressure(MAP) at different periods were compared between the two groups. Results: The HR and MAP of T2 and T3 in group B were significantly lower than those in group A(P<0.05).The time of blink,respiratory recovery and tracheal extubation time in group B were significantly shorter than those in group A(P< 0.05).Conclusion:Remifentanil combined with propofol applied in craniocerebral surgery can significantly improve the hemodynamic stability of patients and shorten the anesthesia recovery time in patients.Therefore,this nursing method has clinical promotion value.

关 键 词：瑞芬太尼 丙泊酚 颅脑手术 临床效果 

分 类 号：R614[医药卫生—麻醉学]