瑞芬太尼联合丙泊酚在关节脱位手法复位麻醉中的应用

Red Compound Fentanyl Propofol Anesthesia in the Joint Dislocation Recovery and Clinical Effects Evaluation

目的观察和分析瑞芬太尼联合丙泊酚用于关节脱位手法复位的临床效果。方法选取安顺市人民医院2012年7月至2014年7月收治的关节脱位患者62例作为研究对象,随机分为丙泊酚麻醉组(A组)和瑞芬太尼联合丙泊酚麻醉组(B组),各31例。对两组的麻醉效果、不良反应、麻醉起效时间及苏醒时间进行分析。结果A组麻醉有效率为83.87%,B组为96.77%,差异具有统计学意义(P<0.05);A组不良反应发生率为41.93%,B组为16.13%,差异具有统计学意义(P<0.05);B组麻醉起效时间及苏醒时间明显比A组短(P<0.05),差异具有统计学意义(P<0.05)。结论瑞芬太尼联合丙泊酚麻醉用于关节脱位手法复位的麻醉效果较好,不良反应发生率低。

Objective To examine the fentanyl propofol and Rayleigh anesthesia in the joint dislocation recovery and to analyze the clinical effects.Methods Data of selected patients from July 2012 to July 2014 were analyzed.62 cases of joint dislocation as the research subjects were randomly divided into control group and research group,each group of 31 patients.Control group used propofol anesthesia,and the research group used red compound fentanyl and propofol gimmick reset anesthesia,the joint dislocation recovery and the clinical data of two groups of patients were retrospectively analyzed.Results The effective rate of 96.77% anesthesia was achieved in research group,significantly higher than the control group of 83.87%;The incidence of adverse reactions of the research group（16.13%）were significantly lower than the control group of 41.93%;the anesthetic effect,the time of anesthesia and the time of awakening were obviously shorter than the control group,with significant difference（P〈0.05）.Conclusion Red combined with fentanyl propofol anesthesia in joint dislocation of manual reduction more effective,and reduce risk of adverse reactions,and is the effective method of joint dislocation gimmick reset anesthesia.