观察瑞芬太尼联合异丙酚麻醉用于甲状腺切除手术的效果  

To observe the effect of remifentanil combined with propofol anesthesia in thyroidectomy

作　　者：董霞 Dong Xia(Department of Anesthesiology,Jinan Shizhong People’s Hospital,Jinan,Shandong,250002,China)

机构地区：[1]济南市市中区人民医院麻醉科,山东济南250002

出　　处：《中国医学文摘（耳鼻咽喉科学）》2021年第4期56-57,共2页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的观察瑞芬太尼联合异丙酚麻醉用于甲状腺切除手术的效果。方法 2017年1月~2020年1月,选取我院甲状腺切除手术患者300例,采用随机数字表法分为对照组与观察组,对照组给予异丙酚麻醉,观察组联合瑞芬太尼进行麻醉,观察麻醉情况、不良反应发生率。结果观察组清醒时间(7.11±2.15)分,恢复呼吸时间(5.27±1.89)分,意识恢复时间(5.21±1.17)分,拔管时间(9.16±2.61)分,不良反应发生率2.00%,与对照组相比,P<0.05。结论给予甲状腺切除手术患者瑞芬太尼联合异丙酚麻醉,促进患者麻醉恢复,且不良反应少,值得借鉴。Objective To observe the effect of remifentanil combined with propofol anesthesia in thyroidectomy. Methods From January 2017 to January 2020, 300 patients undergoing thyroidectomy in our hospital were selected and divided into control group and observation group by random number table method. The control group was given propofol anesthesia, and the observation group was given remifentanil anesthesia. The anesthesia situation and the incidence of adverse reactions were observed. Results In the observation group, the waking time was(7.11±2.15) minutes, the breathing time was(5.27±1.89) minutes, the consciousness recovery time was(5.21±1.17) minutes, and the extubation time was(9.16±2.61) minutes. The incidence of adverse reactions was 2.00%, compared with the control group(P< 0.05). Conclusion The administration of remifentanil combined with propofol in patients with thyroidectomy can promote the recovery from anesthesia with less adverse reactions, which is worthy of reference.

关 键 词：瑞芬太尼 异丙酚 甲状腺切除手术 效果 

分 类 号：R61[医药卫生—外科学]