分析在甲状腺切除手术麻醉中应用瑞芬太尼联合异丙酚的临床效果  

To analyze the clinical effect of remifentanil combined with propofol in anesthesia forthyroidectomy

作　　者：王金枝 Wang Jinzhi(Dongying Hekou District Traditional Chinese Medicine Hospital,Dongying,Shandong,257200,China)

机构地区：[1]东营市河口区中医院,山东东营257200

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第5期53-55,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析在甲状腺切除手术麻醉中予以应用瑞芬太尼与异丙酚联合麻醉的临床应用价值。方法总结2019年9月至2022年9月期间,我院60例行甲状腺切除手术的患者作为本次研究样本,通过双盲法则将其分为参照组(30例,给予常规麻醉)、试验组(30例,给予瑞芬太尼联与异丙酚联合麻醉)。对比2组患者苏醒情况、不良反应发生率、血流动力学等情况。结果试验组不良反应总发生率3.33%低于参照组总发生率20.00%,统计学处理分析为P<0.05;手术前与手术中的血流动力学结果2组计算无统计学意义P>0.05,拔管时与拔管后对比结果试验组与参照组存在显著差异P<0.05;试验组的苏醒情况对比参照组占据显著优势,统计学计算结果P<0.05。结论对于行甲状腺切除手术的患者,临床麻醉中应用瑞芬太尼与异丙酚联合麻醉效果显著,可有效加速患者苏醒速度,且能够有效保持血流动力情况,整体不良反应发生率较低,可予以广泛实施。Objective To analyze the clinical application value of remifentanil combined with propofol in anesthesia for thyroidectomy.Methods From September 2019 to September 2022,60 patients undergoing thyroidectomy in our hospital were selected as samples for this study and divided into the control group(30 patients receiving conventional anesthesia)and the experimental group(30 patients receiving remifentanil combined anesthesia with propofol)by double-blind rule.The recovery,incidence of adverse reactions and hemodynamics of the two groups were compared.Results The total incidence of adverse reactions in the experimental group was 3.33%lower than that in the control group,which was 20.00%.The statistical analysis was P<0.05.The hemodynamic results before and during operation showed no statistical significance between the two groups(P>0.05).The comparison results between the test group and the reference group were significantly different(P<0.05).Compared with the reference group,the resuscitation condition of the experimental group was significantly superior,and the statistical calculation result was P<0.05.Conclusions For patients undergoing thyroidectomy,the combination of remifentanil and propofol in clinical anesthesia has significant effects,which can effectively accelerate the recovery rate of patients and effectively maintain the hemodynamic condition.The overall incidence of adverse reactions is low,so it can be widely implemented.

关 键 词：异丙酚 甲状腺切除术 临床麻醉 瑞芬太尼 

分 类 号：R61[医药卫生—外科学]