舒芬太尼与瑞芬太尼在急诊脑外伤手术麻醉中应用研究
张春龙
（陕西省岐山县医院，陕西 宝鸡，722400）
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摘要：
目的 比较舒芬太尼、瑞芬太尼在急诊脑外伤手术麻醉中的应用效果。方法 随机选取本院2013年4月至2016年7月的22例急诊脑外伤手术患者作为试验组，采用舒芬太尼进行麻醉处理；选取同期收治的22 例急诊脑外伤手术患者作为对 照组，采用瑞芬太尼行麻醉处理，比较两组患者的麻醉效果。结果 试验组麻醉持续时间、自主呼吸恢复时间、拔管时间、VAS疼痛评分等均优于对照组；试验组麻醉风险事件发生率（13.64%）低于对照组（40.91%），两组的麻醉效果比较，差异具有统计学意义（P<0.05）。结论 与瑞芬太尼相比，舒芬太尼更具使用优势，可作为急诊脑外伤手术首选麻醉药物，建议临床推广应用。
关键词：急诊脑外伤手术；舒芬太尼；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(2017)05-0054-02
Application of sufentanil and remifentanil in Emergency Anesthesia for Brain Injury
ZHANG Chun-long
(Qishan County Hospital in Shannxi Province, Baoji 722400, China)
ABSTRACT: Objective To compare the application effect of sufentanil and remifentanil in emergency anesthesia for brain injury. Methods Twenty-two cases of emergency patients with brain trauma surgery were randomly selected from April 2013 to July 2016 as the experimental group, which using sufentanil anesthesia. Twenty-two cases of emergency patients with brain trauma surgery were selected as the control group, which using remifentanil anesthesia. The anesthetic effects of the two groups were compared. Results The duration of anesthesia, spontaneous breathing recovery time, extubation time, VAS pain scores in the experimental group were better than the control group (P<0.05), and the incidence of anesthesia risk events in the experimental group (13.64%) was lower than that in the control group (40.91%). Compare the anesthesia effect of two groups, the difference was statistically significant (P<0.05). Conclusion Compared with remifentanil, sufentanil has more advantages, which can be used as emergency brain trauma surgery preferred anesthetic drugs. It is recommended for clinical application.
KEYWORDS: emergency brain trauma surgery; sufentanil; remifentanil; anesthesia
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