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异丙酚复合芬太尼或瑞芬太尼靶控静脉麻醉与静吸复合麻醉的比较 被引量:4

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摘要 目的:探究异丙酚复合芬太尼或瑞芬太尼靶控静脉麻醉的麻醉效果,并与静吸复合麻醉的麻醉效果进行比较。方法:选择ASAⅠ-Ⅱ级患者90例,依照不同的麻醉方式随即分成A(静吸复合麻醉)组,B(异丙酚复合芬太尼麻醉)组,C(异丙酚复合瑞芬太尼麻醉)组,每组患者30例,观察比较三组患者拔管时及拔管后疼痛评分、清醒时间、定向力恢复时间、拔管时间;观察比较恶心、呕吐等不良反应发生情况及患者术中知晓情况等。结果:三组患者术后清醒时间、定向力恢复时间、拔管时间比较差异无统计学意义(P>0.05);三组患者在拔管时、拔管后1h、拔管后3h比较,B、C两组患者疼痛感显著低于A组,差异比较具有统计学意义(P<0.05)。A、B、C两组患者不良反应发生率比较差异比较无统计学意义(P>0.05)。结论:异丙酚复合芬太尼或瑞芬太尼把控静脉麻醉的效果更加稳定,患者疼痛感更少,不良反应发生率更低,具有很好的临床推广意义。
出处 《中国妇幼健康研究》 2017年第S4期453-454,共2页 Chinese Journal of Woman and Child Health Research
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