摘要
目的:研究瑞芬太尼联合异丙酚用于甲状腺切除手术麻醉的临床效果。方法:70例接受甲状腺切除手术治疗患者随机分两组。单一组手术麻醉方式为单纯异丙酚麻醉,复合组手术麻醉方式为瑞芬太尼联合异丙酚麻醉。比较两组患者麻醉效果、恢复意识时间、恢复自主呼吸时间、平均清醒时间、平均拔管时间,以及患者咳嗽反射发生率。结果:复合组麻醉优良率94.29%,高于单一组的77.14%,差异有统计学意义(P<0.05)。复合组恢复意识时间、恢复自主呼吸时间、平均清醒时间、平均拔管时间短于单一组,差异有统计学意义(P<0.05)。复合组咳嗽反射发生率低于单一组,差异有统计学意义(P<0.05)。结论:瑞芬太尼联合异丙酚用于甲状腺切除手术麻醉的临床效果确切,可减少咳嗽反射,加速术后意识和自主呼吸恢复,缩短清醒时间和拔管时间。
Objective:To study the clinical analysis of remifentanil combined with propofol in thyroidectomy anesthesia.Methods:70 patients with thyroidectomy were randomly divided into two groups.The operation anesthesia mode of the single group was propofol anesthesia.The operation anesthesia mode of the composite group was remifentanil combined with propofol anesthesia.The anesthesia effect,consciousness recovery time,autonomous respiration recovery time,average awake time,average extubation time,cough reflex incidence rate were compared between groups.Results:The anesthesia excellent and good rate of the composite group was 94.29% ,higher than 77.14% of the single group,and the difference was statistically significant(P<0.05).The consciousness recovery time,autonomous respiration recovery time,average awake time,average extubation time of the compositegroup were shorter than those of the single group, and the difference was statistically significant(P<0.05).The cough reflex incidence rate of the composite group was lower than that of the single group,and the difference was statistically significant(P<0.05).Conclusion:Remifentanil combined with propofol in thyroidectomy anesthesia has an exact clinical effect,which can reduce cough reflex,accelerate postoperative consciousness and autonomous respiration recovery,shorten awake time and extubation time.
作者
汤勇
Tang Yong(Jiangchuan District people's Hospital of YuXi City,Yunnan Province 652600)
出处
《中国社区医师》
2017年第4期63-64,共2页
Chinese Community Doctors
