骨科手术应用瑞芬太尼与常规麻醉的效果观察

目的对应用瑞芬太尼接受手术治疗的骨科患者进行麻醉的临床效果进行研究分析。方法 84例接受手术治疗的骨科患者分为A、B两组,每组42例。A组患者在手术前进行常规麻醉;B组患者在手术前采用瑞芬太尼(每分钟泵入剂量为0.2μg/kg)进行麻醉。观察两组麻醉效果。结果 B组患者的麻醉效果(总有效率95.2%)明显高于A组(总有效率76.2%);麻醉后的苏醒时间(38.24±10.52)h明显早于A组(54.18±11.38)h;手术过程中和手术结束后出现并发症的例数(1例)明显少于A组(9例)。结论应用瑞芬太尼对接受手术治疗的骨科患者进行麻醉的临床效果明显,减少了应激反应,麻醉后苏醒时间短,麻醉期间生命体征平稳。

Objective To study and analyze the clinical effect on the application of remifentanil and conventional anaesthesia in patients who received the orthopedic surgery. Methods 84 patients who received the orthopedic surgery were chosen and divided them into group A and group B, with 42 cases in each group. Patients in group A received the conventional anaesthesia before the surgery; patients in group B received the remifentanil for the anaesthesia before the surgery. Results The anesthetic effect in group B was significantly better than the one in group A; its awakening time was earlier than the one in group A, the change in indicators of vital sign was significantly smaller than the one in group A; the number of patients who had the complications during and after the surgery was less than the one in group A. Conclusion There is a significant clinical effect on the application of remifentanil for patients who receive the orthopedic surgery, which reduces the stress responses, shortens the awakening time after the anaesthesia and smoothens the vital signs during the anaesthesia.