瑞芬太尼复合麻醉在五官科手术中的应用

Application of remifentanil combined anesthesia to the surgery of five sense organs

目的探讨瑞芬太尼在五官科手术麻醉中的应用效果。方法ASAⅠ-Ⅱ级择期五官科手术患者60例,随机分为瑞芬太尼组（R组）和芬太尼组（F组）各30例。记录咳嗽反射恢复时间T0、意识恢复时间T1及气管导管拔出时间T2,观察苏醒期并发症,随访术中知晓情况。结果R组中的T0、T1及T2明显小于F组中的相应值（P〈0.05）;R组呼吸遗忘的发生率明显小于F组（P〈0.05）;术后随访两组患者均无术中知晓。结论瑞芬太尼复合麻醉具有苏醒迅速彻底、苏醒期并发症少的优点,可为五官科手术提供安全可靠的麻醉方法。

Objective To evaluate the anesthetic effect of remifentanil on the operations of five sense organs. Methods Sixty patients （ASA Ⅰ-Ⅱ ） scheduled for the five sense organs surgery were divided randomly into two groups （group R and group F） with 30 patients in each. The cough reflex recovery time（T0）,analepsia time（T1） and the endotracheal extubation time （T2） were recorded. The complication in the recovery period was observed and these patients were followed up for 24 hours. Results The values of T0,T1 and T2 in group R were less than those in group F （P〈0. 05）. The rate of respiratory depression in group R was less than that in group F（P〈0. 05）. There was no awareness during operation in two groups. Conclusion Remifentanil combined anesthesia can offer safe and reliable anesthesia for sense organs surgery, which possesses the advantages of rapid recovery and less complications.