胸科手术中舒芬太尼复合丙泊酚全凭静脉麻醉的临床特点分析

Clinical Features of Sufentanil Propofol Total Intravenous Anesthesia in Thoracic Surgery

目的探讨胸科手术中舒芬太尼复合丙泊酚全凭静脉麻醉的临床应用特点及效果。方法将68例胸科手术患者随机分为SF组和RF组,每组各34例。使用不同药物。结果两组间患者血流动力学指标于术前、术中、术后5min无明显差异,术后10min、20min、30minRF组较基础值明显增高(P<0.05),患者VAS评分有统计学差异(P<0.05)。结论舒芬太尼联合丙泊酚静脉持续泵注法应用于临床麻醉,其麻醉效果稳定,见效快,使患者能在短时间内进行拔管,且手术后患者意识恢复时间短。

Objective To investigate the thoracic operation of sufentanil combined with propofol total intravenous anesthesia clinical application characteristics and effect.Methods 68 cases of thoracic operation were randomly divided into SF group and RF group,34 cases in each group.The use of different drugs.Results Between the two groups patients hemodynamic indices in the preoperative,intraoperative,and postoperative 5min showed no significant difference,10min after surgery,20min,30minRF group was significantly higher than the base value（P0.05）,VAS of the patients was statistically significant（P0.05）.Conclusion Sufentanil combined with propofol intravenous continuous infusion method used in clinical anesthesia,the anesthesia effect is stable,fast,so that patients can in a short period of time to extubation after operation,and the consciousness of patients with a short recovery time.