咪达唑仑复合瑞芬太尼在脊椎骨折手术麻醉中的临床效果观察

Clinical observation of midazolam combined with remifentanil in anesthesia for spinal fracture surgery

目的:研究咪达唑仑复合瑞芬太尼在脊椎骨折手术麻醉中的临床效果.方法:选取我院接受脊柱骨折手术的患者92例,按照随机分为对照组、观察组,各46例,对照组实施咪达唑仑麻醉,观察组在对照组基础上给予瑞芬太尼麻醉,对比2组麻醉效果.结果:麻醉前2组心率、呼吸频率、血氧饱和度等生命体征指标并无明显差异(P>0.05),麻醉后除血氧饱和度以外,观察组呼吸频率、心率均显著优于对照组(P<0.05);观察组呼吸恢复时间、拔管时间、睁眼时间均显著短于对照组(P<0.05),差异有统计学意义.结论:在脊柱骨折患者的手术过程中给予咪达唑仑联合瑞芬太尼麻醉具有更为良好的麻醉效果,值得推广.

Objective:To study the clinical effect of midazolam combined with remifentanil in spinal fracture surgery.Methods:92 patients received spinal fracture surgery in our hospital were randomly divided into control group,observation group,46 cases,and midazolam anesthesia in control group.The observation group was given remifentanil anesthesia on the basis of control group,and the effect of two groups was compared.Results:there was no significant difference in heart rate,respiratory frequency and oxygen saturation of the two groups before anesthesia(P>0.05).After anesthesia,the respiratory rate and heart rate of the observation group were significantly better than those of the control group(P<0.05).The respiration recovery time,the extubation time and the opening time of the observation group were significantly shorter than those in the observation group.In the control group(P<0.05),the difference was statistically significant.Conclusion:midazolam combined with remifentanil had better anesthetic effect in the operation of spinal fractures,and should be worthy of promotion.