瑞马唑仑联合顺式阿曲库铵及舒芬太尼在桡骨远端骨折患者麻醉中的效果分析  

Effect Analysis of Remimazolam Combined with Cisatracurium and Sufentanil in Anesthesia of patients with Distal Radius Fracture

作　　者：张建伟 ZHANG Jianwei(Department of Anesthesiology,Jining Bone Injury Hospital,Jining 272000,China)

机构地区：[1]山东省济宁骨伤医院麻醉科,山东济宁272000

出　　处：《中国伤残医学》2024年第18期4-7,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨瑞马唑仑联合顺式阿曲库铵及舒芬太尼在桡骨远端骨折患者麻醉中的效果。方法:选择2023年1-6月于济宁骨伤医院接受内固定术治疗的80例桡骨远端骨折患者为研究对象,使用随机数字表法分为对照组及研究组,各40例。对照组采用丙泊酚联合顺式阿曲库铵及舒芬太尼进行麻醉,研究组采用瑞马唑仑联合顺式阿曲库铵及舒芬太尼进行麻醉。比较两组患者的生命体征、镇静效果、疼痛情况及不良反应发生情况。结果:研究组给镇静药物后5 min、阻滞结束后10 min的收缩压、舒张压均低于对照组,差异均有统计学意义(P<0.05)。两组各时点的脑电双频指数比较,差异均无统计学意义(P>0.05)。研究组给镇静药物后5 min、阻滞时、阻滞结束后10 min的疼痛视觉模拟评分法评分均低于对照组,差异均有统计学意义(P<0.05)。研究组的不良反应发生率为7.50%,低于对照组的27.50%,差异有统计学意义(P<0.05)。结论:桡骨远端骨折患者麻醉中采用瑞马唑仑联合顺式阿曲库铵及舒芬太尼效果良好,无痛、安全,具有应用价值。Objective:To investigate the effect of remimazolam combined with cisatracurium and sufentanil in anesthesia of patients with distal radius fracture.Methods:A total of 80 patients with distal radius fracture who received internal fixation treatment in Jining Orthopedic Hospital from January to June 2023 were selected as the study objects,and were divided into a control group and a study group using random number table method,with 40 cases in each group.The control group was anesthetised with propofol combined with cisatracurium and sufentanil,while the study group was anesthetised with remimazolam combined with cisatracurium and sufentanil.The vital signs,sedation effect,pain and adverse reactions were compared between the two groups.Results:5 min after sedation and 10 min after the end of block,the systolic blood pressure and diastolic blood pressure of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the bispectral indexes between the two groups at each time(P>0.05).The pain visual analogue scale scores of the study group were lower than those of the control group at 5 min after sedation,at the end of block and 10 min after block,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 7.50%,lower than 27.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Remimazolam combined with cisatracurium and sufentanil in the anesthesia of distal radius fracture has a good effect,and can provide patients with painless and safe anesthesia services,which has application value.

关 键 词：桡骨远端骨折 瑞马唑仑 顺式阿曲库铵 舒芬太尼 麻醉效果 

分 类 号：R614[医药卫生—麻醉学]