摘要
目的:观察瑞芬太尼复合芬太尼用于甲状腺手术的临床疗效。方法:选择在全身麻醉复合颈丛阻滞下行甲状腺次全切除术患者60例,随机均分为芬太尼组(F组)和瑞芬太尼复合芬太尼组(R组)。F组用芬太尼和丙泊酚诱导和维持麻醉;R组诱导同F组,静脉维持用瑞芬太尼和丙泊酚,观察并比较2组患者麻醉药用量、麻醉恢复情况、术中血压、心率变化。结果:R组麻醉循环波动小,苏醒快,术后并发症少,费用相对较低。结论:瑞芬太尼复合芬太尼用于甲状腺手术更安全、有效、经济。
OBJECTIVE: To evaluate the therapeutic effect of remifentanil combined with fentanyl in thyroid Operation. METH- ODS: 60 Patients for elective thyroidectomy under general anesthesia combined with cervical plexus block were randomly assigned into 2 groups: Group fentanyl(Group F) and Group remifentanil combined with fentanyl (Group R). Group F were induced and maintained with fentanyl and propofol, while group R induced with group F, maintained with remifentanil and propofol. The obser- vation of the amount of narcotic drugs, anesthesia recovery, intraperative blood pressure and heart rate changes were taken. RE- SULTS: Group R resulted in less circulatory disturbance, faster recovery, less postoperative complications and relatively low cost. CONCLUSION: Remifentanil combined with fentanyl can be used more safely, effectively and economically in thyroid operation.
出处
《中国药房》
CAS
CSCD
北大核心
2011年第8期732-733,共2页
China Pharmacy
关键词
瑞芬太尼复合芬太尼
全身麻醉复合颈丛阻滞
甲状腺次全切除术
Remifentanil combined with fentanyl
General anesthesia combined with cervical plexus block
Thyroidectomy