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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

老年胸外科手术中不同浓度的瑞芬太尼的临床麻醉效果分析

王兴华

(陕西省杨凌示范区医院,陕西 咸阳,712100)

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摘要:

目的 探讨不同浓度瑞芬太尼用于老年胸外科手术麻醉中的临床效果。方法 抽取我院2013 年4 月至2016 年4 月收治的 200 例老年胸外科手术患者作为研究对象,所有患者均接受瑞芬太尼麻醉,根据麻醉药物所用剂量分为甲组和乙组,各100 例。甲组患者采用6 μg/L 剂量进行麻醉,乙组患者采用8 μg/L 剂量进行麻醉,观察两组麻醉效果。结果 麻醉后5 min,甲组 患者的麻醉总有效率为95.0%(95/100),高于乙组的86.0%(86/100),差异具有统计学意义(P<0.05);麻醉后5 min,两组患者 的BP、HR、SPO2、MAP 均低于麻醉前,且甲组低于乙组,差异具有统计学意义(P<0.05);甲组自主呼吸恢复时间、睁眼时间、拔管时间均短于乙组,差异有统计学意义(P<0.05)。结论 针对老年胸外科手术患者,给予6 μg/L 瑞芬太尼麻醉疗效显著,值 得推广。

关键词:胸外科;瑞芬太尼;麻醉效果

中图分类号:R614文献标志码:A文章编号:2096-1413(2018)02-0084-02

    Clinical anesthetic effects of different concentrations of remifentanil in elderly thoracic surgery
    WANG Xing-hua
    (Yangling Demonstration Zone Hospital, Xianyang 712100, China)

    ABSTRACT: Objective To explore the clinical anesthesia effects of different concentrations of remifentanil in elderly thoracic surgery. Methods A total of 200 elderly patients undergoing thoracic surgery admitted from April 2013 to April 2016 in our hospital were selected as the study subjects, all patients received remifentanil anesthesia, and were divided into group A and group B according to the dose of anesthetic drugs, with 100 cases in each group. The group A received 6 μg/L dose and the group B received 8 μg/L dose. Anesthesia effects of the two groups were observed and compared. Results After 5 min of anesthesia, the total effective rate of anesthesia in the group A was 95.0% (95/100), which was higher than 86.0% (86/100) in the group B (P<0.05). After 5 min of anesthesia, the BP, HR, SPO2, MAP of the two groups were lower than those before anesthesia, and those in the group A was lower than the group B, the differences were statistically significant (P<0.05). The spontaneous breathing recovery time, eyes open time, extubation time in the group A were shorter than those in the group B, the differences were statistically significant (P<0.05). Conclusion Remifentanil anesthesia with the concentration of 6 μg/L in elderly patients with thoracic surgery has exact effect, which is worthy of popularization.
    KEYWORDS: thoracic surgery; remifentanil; anesthesia effect

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