兩種藥物聯(lián)合麻醉對老年患者圍術(shù)期應(yīng)激反應(yīng)及術(shù)后疼痛的影響研究
發(fā)布時間:2018-06-12 08:48
本文選題:瑞芬太尼 + 舒芬太尼 ; 參考:《中國實用醫(yī)藥》2016年01期
【摘要】:目的探討瑞芬太尼聯(lián)合舒芬太尼作用于老年患者圍術(shù)期以及術(shù)后鎮(zhèn)痛的效果與影響。方法 68例進(jìn)行手術(shù)治療的老年患者,隨機(jī)分為對照組與觀察組,每組34例。對照組單純采用瑞芬太尼進(jìn)行麻醉,觀察組采用瑞芬太尼聯(lián)合舒芬太尼進(jìn)行麻醉,兩組患者均采用全憑靜脈麻醉。觀察兩組患者麻醉術(shù)中和術(shù)后情況。結(jié)果對照組總有效率為70.59%低于觀察組的94.12%;觀察組的術(shù)后睜眼時間及完全蘇醒時間均少于對照組,差異均具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論相較于單純使用瑞芬太尼,兩種藥物聯(lián)合使用可以更好的改善患者麻醉后以及術(shù)后的恢復(fù)情況并且減輕患者疼痛。
[Abstract]:Objective to investigate the effect of remifentanil combined with sufentanil on perioperative and postoperative analgesia in elderly patients. Methods Sixty-eight elderly patients undergoing surgical treatment were randomly divided into control group and observation group with 34 cases in each group. The control group was anesthetized by remifentanil alone, and the observation group by remifentanil combined with sufentanil. The anaesthesia and postoperative conditions were observed in both groups. Results the total effective rate of the control group was 70.59% lower than that of the observation group (94.12%), and the time of eye opening and complete recovery in the observation group was less than that in the control group, and the difference was statistically significant (P 0.05). Conclusion compared with remifentanil alone, combined use of two drugs can improve the recovery and pain of patients after anesthesia.
【作者單位】: 沈陽市第五人民醫(yī)院;
【分類號】:R614
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1 祁富偉;鎮(zhèn)痛的強(qiáng)化與老年病人全身麻醉的優(yōu)化[D];蘇州大學(xué);2014年
,本文編號:2009090
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