七氟醚瑞芬太尼静吸复合麻醉在临床中的应用

Clinical application of sevoflurane - remifentanil intravenous inhalation combined anesthesia

目的观察七氟醚瑞芬太尼静吸复合麻醉与丙泊酚瑞芬太尼静脉复合麻醉的麻醉效果和麻醉恢复情况。方法将ASAI～Ⅱ级行择期手术的患者40例随机分为七氟醚瑞芬太尼静吸复合麻醉组（S组）和丙泊酚瑞芬太尼静脉复合麻醉组（P组），观察两组患者麻醉诱导前、切皮时，术毕及拔管时的心率、平均动脉压，记录术毕患者睁眼时间和拔管时间。结果①切皮时S组平均动脉压与心率均比P组低，在其余时间两组无明显不同。②P组与S组在睁眼时间、拔管时间方面比较差异有统计学意义（P〈0．01），S组有显著优势。结论七氟醚瑞芬太尼静吸复合麻醉能提供满意的麻醉效果，术后苏醒快，是较为理想的麻醉方法。

Objective To observe the clinical effect and recovery of sevoflurane remifentanil and propofol remifentanil intravenous inhalation combined anesthesia. Methods Forty cases of ASA I - II class scheduled for operation, were randomly divided into sevoflurane - remifentanil intravemous inhalation combined anesthesia group （ group S） and propofol - remifentanil intravenous inhalation combined anesthesia group （ group P）. The following were recorded ： mean arterial pressure （MAP） and heart rate （HR） before anesthesia（ To ）, at the beginning （ T1 ） and end of surgery（ T2 ）, and the time point of extabation （ T3 ） , the time of eyes opening and extubation. Results （1）The skin incision of MAP and HR in group S was lower than that of group P, the rest of the time point of the two groups were not significantly different. （2）In group P and group S, there were significant differences in recovery time of eye opening, tracheal extubation time （P 〈 0. 01 ）. Group S had significant advantages. Conclusions Sevoflurane - remifentanil intravenous inhalation combined anesthesia may provide satisfactory anesthesia, rapid recovery after surgey, is an ideal method of anesthesia.