摘要
目的评价瑞芬太尼在胸腔镜肺叶切除术麻醉中的应用效果。方法方便选取2016年7月—2017年12月在该院行胸腔镜肺叶切除术治疗的患者40例,按照随机数字表法分为对照组和观察组,每组20例。其中对照组行芬太尼麻醉,观察组采用瑞芬太尼麻醉。记录并比较两组患者不同时间心率、收缩压(SBP)和舒张压(DBP)以及术后呼吸恢复时间、睁眼时间、拔管时间、拔管后30 min疼痛评分以及不良反应情况。结果观察组在T1和T2时的心率、SBP和DBP分别为(91.37±8.09)次/min和(85.28±7.16)次/min,(131.08±16.42)mm Hg和(126.68±13.94)mm Hg,(91.37±8.09)mm Hg和(73.62±7.15)mm Hg,显著高于对照组(t=6.884、9.498、2.848、2.119、6.125、2.65,P<0.05)。观察组术后呼吸恢复时间[(4.02±1.19)min vs(7.28±1.53)min]、睁眼时间[(3.95±1.24)min vs(8.17±1.61)min]、拔管时间[(5.20±1.59)min vs(9.13±2.17)min]均显著低于对照组(t=7.522、9.287、6.533,P<0.05)。结论胸腔镜肺叶切除术患者行瑞芬太尼麻醉,术中血流动力学稳定,术后苏醒快、无躁动,值得临床推广。
Objective This paper tries to evaluate the clinical effect of remifentanil in anesthesia during thoracoscopic lobectomy. Methods 40 patients who underwent thoracoscopic lobectomy in the hospital from July 2016 to December 2017 were convenient selected and divided into control group and observation group according to the random number table method, with 20 cases in each group. The control group received fentanyl anesthesia and the observation group received remifentanil. The heart rate, systolic blood pressure（SBP） and diastolic blood pressure（DBP） as well as postoperative respiratory recovery time, eye open time, extubation time, 30 min post-extubation pain score and adverse reactions were recorded and compared between the two groups. Results The heart rate, SBP and DBP in the observation group at T1 and T2 were（91.37±8.09）times/min and（85.28±7.16）times/min,（131.08±16.42）mm Hg and（126.68±13.94）mm Hg,（91.37±8.09）mm Hg and（73.62 ±7.15）mm Hg respectively were significantly higher than those in the control group（t =6.884, 9.498, 2.848, 2.119,6.125, 2.65, P〈0.05）. The postoperative respiratory recovery time in the observation group was[（4.02 ±1.19）min vs（7.28 ±1.53）min], eye opening time [（3.95 ±1.24）min vs（8.17 ±1.61）min], and extubation time [（5.20 ±1.59）min vs（9.13 ±2.17）min]were significantly lower than the control group（t=7.522, 9.287, 6.533, P〈0.05）. Conclusion The patients undergoing thoracoscopic lobectomy underwent remifentanil anesthesia. Hemodynamic stability was stable during the operation. The patients recovered quickly and did not have any restlessness. It is worthy of clinical promotion.
作者
徐慧
XU Hui(Department of Anesthesiology,Traditional Chinese Medeine Hospital of Kunshan,Kunshan,Jiangsu Province,215300 China)
出处
《中外医疗》
2018年第19期104-106,共3页
China & Foreign Medical Treatment
