瑞芬太尼用于快通道心脏麻醉中的疗效分析  

Efficacy Analysis of Remifentanil in Fast-track Cardiac Anesthesia

作　　者：许清清[1] XU Qingqing(Department of Anesthesiology,Yixing People's Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市人民医院麻醉科,江苏宜兴214200

出　　处：《系统医学》2021年第20期82-85,共4页Systems Medicine

摘　　要：目的研究在快通道心脏麻醉治疗过程中采用瑞芬太尼产生的临床效果。方法选择2018年5月-2020年5月入该院接受心脏手术治疗的患者作为研究对象,共计80例,通过随机分组的方式将研究对象分为对照组和研究组,每组各40例。其中对照组研究对象采用丙泊酚与芬太尼共同麻醉的方式,研究组采用丙泊酚联合瑞芬太尼进行麻醉,对比两组研究结果。结果研究组研究对象临床治疗总有效率95.00%高于对照组77.50%,差异有统计学意义(χ^(2)=5.164,P<0.05),术后拔管时间(28.39±5.62)min、重症监护室停留时间(10.57±5.14)h、体外循环时间(35.17±5.98)min均低于对照组(113.84±36.54)min、(18.47±7.64)h、(44.18±6.21)min,差异有统计学意义(t=14.618、5.426、6.609,P<0.05),两组研究对象在不同的时间节点收缩压、舒张压以及心率指标变化差异无统计学意义(P>0.05)。结论利用瑞芬太尼在快通道心脏麻醉中能够产生更为积极突出的临床应用价值,值得大力推广应用。Objective To study the clinical effects of remifentanil during fast-track cardiac anesthesia treatment.Methods The patients who were admitted to the hospital for cardiac surgery from May 2018 to May 2020 were selected as the research objects,a total of 80 cases,and the study objects were divided into a control group and a study group by random grouping,with 40 cases in each group.Among them,the control group was anesthetized with propofol and fentanyl,and the experimental group was anesthetized with propofol combined with remifentanil,and the results of the two groups were compared.Results The total effective rate of clinical treatment of subjects in the study group was 95.00%higher than 77.50%in the control group,the difference was statistically significant(χ^(2)=5.164,P<0.05),the postoperative extubation time was(28.39±5.62)min,and the intensive care unit stay time(10.57±5.14)h,cardiopulmonary bypass time(35.17±5.98)min was lower than the control group(113.84±36.54)min,(18.47±7.64)h,(44.18±6.21)min,the difference was statistically significant(t=14.618,5.426,6.609,P<0.05).There was no statistically significant difference between the two groups of research subjects at different time nodes in systolic blood pressure,diastolic blood pressure and heart rate index changes(P>0.05).Conclusion The use of remifentanil in fast-track cardiac anesthesia can produce more active and prominent clinical application value,and it is worthy of vigorous promotion and application.

关 键 词：瑞芬太尼 快通道心脏麻醉 临床效果 

分 类 号：R614[医药卫生—麻醉学]