【摘要】：目的觀察瑞芬太尼經(jīng)靜脈泵入強化麻醉在眼臺植入術(shù)中鎮(zhèn)痛效果,了解其有效性和可控性。方法選擇擇期行眼內(nèi)容物剜除和眼臺植入術(shù)患者40例,隨機分為觀察組和對照組各20例。2組患者先進性局部麻醉,觀察組于手術(shù)開始前泵入瑞芬太尼達(dá)2μg/kg,觀察記錄2組手術(shù)前、手術(shù)開始,牽拉肌肉、植入眼臺和手術(shù)結(jié)束時患者收縮壓(SBP)、舒張壓(DBP)、平均動脈壓(MAP)、心率(HR)、視覺膜擬評分法(VAS)評分等指標(biāo)及呼吸抑制、肌僵直等不良反應(yīng)發(fā)生情況。結(jié)果 2組各時點SBP、DBP、MAP、HR指標(biāo)均較術(shù)前有所波動,觀察組波動程度低于對照組,差異有統(tǒng)計學(xué)意義(P0.05),觀察組VAS評分明顯低于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。2組術(shù)中均未觀察到呼吸肌僵直病例,觀察組出現(xiàn)一過性呼吸抑制2例。結(jié)論瑞芬太尼經(jīng)靜脈泵入強化麻醉有效減輕眼臺植入術(shù)中的牽拉反應(yīng),鎮(zhèn)痛效果好,且對生理功能干擾小,不良反應(yīng)小,值得臨床推廣應(yīng)用。
[Abstract]:Objective to observe the analgesic effect of remifentanil intravenous infusion intensive anesthesia during orbital implantation and to understand its effectiveness and controllability. Methods 40 patients undergoing elective exhumation and orbital implantation were randomly divided into observation group (n = 20) and control group (n = 20). The patients in the two groups were anesthetized with advanced local anesthesia. The observation group was pumped with remifentanidas 2 渭 g / kg, before the operation, the muscle was pulled at the beginning of the operation, the systolic blood pressure (SBP),) diastolic blood pressure (DBP),) mean arterial pressure (MAP), heart rate (HR),) was recorded at the end of the operation and at the end of the operation. Visual membrane score (VAS) score and respiratory inhibition, muscle stiffness and other adverse reactions. Results the SBP,DBP,MAP,HR index of the two groups fluctuated at all time points, the fluctuation degree of the observation group was lower than that of the control group, the difference was statistically significant (P 0.05), the VAS score of the observation group was significantly lower than that of the control group, the difference was statistically significant (P 0.05). No cases of respiratory muscle rigidity were observed during operation in the two groups. There were 2 cases of transient respiratory suppression in the observation group. Conclusion remifentanil intravenous infusion of intensive anesthesia can effectively reduce the traction reaction during orbital implantation, the analgesic effect is good, and the interference to physiological function is small, and the adverse reactions are small, so it is worth popularizing and applying in clinic.
【作者單位】： 青海省湟中縣第一人民醫(yī)院麻醉科;
【分類號】：R614
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本文編號：2514593