摘要
目的探讨丙泊酚复合芬太尼静脉麻醉在肛肠手术应用中的效果。方法将128例肛肠手术患者随机分为A、B组各64例,A组采用丙泊酚复合芬太尼诱导麻醉,术中丙泊酚持续静脉滴注进行维持;B组仅采用利多卡因进行骶管麻醉。将平均动脉压、平均心率、麻醉起效时间、自主恢复活动时间、肌松满意度、患者满意度等作为观察指标,对数据进行统计处理。结果 2组麻醉后平均动脉压和平均心率比较差异均无统计学意义(P>0.05)。A组麻醉起效时间、自主活动恢复时间、肌松满意度以及患者满意度优于B组,差异均有统计学意义(P<0.05)。结论丙泊酚复合芬太尼静脉麻醉应用于肛肠手术,麻醉效果优于骶管麻醉。
Objective To study the application effect of propofol combined with fentanyl intravenous anesthesia in anorectal surgery. Methods 128 cases of patients were randomly divided them into group A and group B, each of 64 cases. The group A received induction of anesthesia with propofol and fentanyl, adopting propofol intravenous drip for maintenance, while the group B only received caudal anesthesia with lidocaine. The mean arterial pressure, mean heart rate, onset time, selfrecovery time of the activity, satisfactory degree of muscle relaxation and patient satisfaction were considered as observed indicators, and the data of which were analyzed with statistical method. Results The differences of average heart rate and mean arterial pressure of 2 groups were no statistically significant（P 〉 0.05 ）. But the onset time, self-recovery time of the activity, satisfactory degree of muscle relaxation and patient satisfaction of group A were better than those of the group B, and the differ- ences were statistically significant （P 〈 0.05）. Conclusion Compared with caudal anesthesia,it is more effective for propofol combined with fentanyl intravenous anesthesia in anoreetal surgery.
出处
《临床合理用药杂志》
2012年第32期18-19,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
丙泊酚
芬太尼
静脉麻醉
骶管麻醉
肛肠手术
Propofol
Fentanyl
Intravenous anesthesia
Caudal anesthesia
Anorectal surgery
