瑞芬太尼在声带小结摘除术麻醉中的应用

The application of remifentanil anesthesia in vocal nodule extirpation

目的 研究瑞芬太尼在声带小结手术麻醉中的应用。方法 选择ASAⅠ～Ⅱ级、择期行声带小结手术患者 4 0例 ,随机分为 2组 ,R组采用瑞芬太尼诱导和维持麻醉 ,F组采用芬太尼诱导和异氟醚吸入维持麻醉 ,观察2组麻醉诱导及维持期血流动力学变化和苏醒期苏醒质量及相关时间。结果 瑞芬太尼麻醉术中循环波动较小 ,苏醒及清醒快 ,术后并发症少。结论 瑞芬太尼可安全有效地用于声带小结手术的麻醉。

Objective To study the application of remifentanil anesthesia in vocal nodule extirpation. Methods Forty patiens (ASAⅠorⅡ) with vocal nodule were selected and randomly divided into two groups. Group R were given anaesthetic induction and maintenance with remifentanil; while Group F were given anaesthetic induction with fentanil and maintenance with isoflurane instead. The anaesthetic induction time, blood flow dynamics during maintenance phase, recovery time and quality were recorded. Results Anaesthesia by remifentanil produces less circulatory fluctuation, faster recovery and less post-operative complications. Conclusion Remifentanil can be used safely and effectively in vocal nodule extirpation.