舒芬太尼复合丙泊酚全凭静脉麻醉用于胸科手术中的临床价值探析

Explore the Clinical Value of Sufentanil Combined with Propofol for Total Intravenous Anesthesia in Thoracicoperation

目的通过临床观察探讨舒芬太尼复合丙泊酚全凭静脉麻醉在胸科手术中的效果。方法选取2012年7月至9月我院所收治的进行普通胸科手术的患者60例,随机分为实验组和对照组,每组30例。对对照组患者使用传统的静脉复合全麻,而实验组则用舒芬太尼复合丙泊酚全凭静脉麻醉。比较观察两组患者在采用不同的方法麻醉后的临床效果。结果经过不同方法的麻醉,实验组的麻醉诱导前与气管插管前比对照组的麻醉诱导前与气管插管前的SBP、HR明显降低;对照组的气管插管后和气管拔出前比实验组的气管插管后和气管拔出前的SBP的明显增高;对照组的胸腔探查、气管拔出前、后比实验组的HR明显增快,统计学上均有意义(P<0.05)。结论普通胸科手术中运用全凭舒芬太尼复合丙泊酚全凭静脉麻醉的效果明显优于传统的静脉复合全麻,可在临床广泛应用。

Objective Through clinical observation and analysis, to observe and analyze the effects of Sufentanil combined with propofol for total intravenous anesthesia in thoracicoperation. Methods From July 2012 to September 2012, 60 cases of the patients needing thoracicoperation in our hospital were chosen and were randomly divided into the experiment group and the control group, and each group had 30 patients. The control group was given traditional intravenous anesthesia, while the experiment group was given sufentanil combined with propofol for total intravenous anesthesia. The clinical effects of the two groups after different anesthesiawere methods were observed and compared. Results After different anesthesiawere methods, SBP, HR of the experiment group before induction of anesthesia and tracheal intubation were signiifcantly lower than the control group; SBP of the control group after tracheal intubation and before the trachea pulling out were signiifcantly higher than the experiment group; the control group in thoracic exploration, before and after the pipe out, were signiifcantly faster than the experiment group. It has statistical signiifcance（P〈0.05）. Conclusions The effects of sufentanil combined with propofol for total intravenous anesthesia in thoracicoperation were signiifcantly better traditional intravenous anesthesia, which can be widely used in clinical.