全麻苏醒期躁动采用舒芬太尼、异丙酚治疗的临床疗效观察

Anesthesia Agitation to Observe the Clinical Effects of Sufentanil and Propofol Treatment

目的探讨全麻苏醒期躁动采用舒芬太尼、异丙酚治疗的临床疗效。方法选取我院2008年2月5日至2013年12月6日气管插管全麻导管拔除后躁动患者149例,以手术创伤相对大小分为创伤大手术组和创伤小手术组。并分别随机分为研究组与对照组,创伤大手术组对照组33例予异丙酚治疗,研究组43例应用舒芬太尼治疗;创伤小手术组对照组38例予异丙酚治疗,研究组35例应用舒芬太尼治疗;并分别分析对比两组治疗效果。结果创伤大手术组,研究组优良率88.4%明显高于对照组63.6%,二者差异有统计学意义(P<0.05);创伤小手术组,研究组优良率91.4%,对照组89.5%,二者无统计学意义(P>0.05)。结论舒芬太尼较异丙酚在创伤大手术组治疗全麻苏醒期躁动效果更好,临床应用价值更高,创伤小手术组二者无差异。

Objective To investigate the clinical efficacy of sufentanil and propofol treatment restlessness during general anesthesia convalescence. MethodsSelect the patients from February 5, 2008 to December 6, 2013 in our hospital with were restless after moving the anesthesia endotracheal tube, the relative size of operation trauma divided into great trauma operation group and small trauma operation group, the 33 cases in the control group of great trauma operation group treated by propofol and the 43 cases in the study group treated by sufentanil, the 38 cases in the control group of small trauma operation group treated by propofol and the 35 cases in the study group treated by sufentanil, comparison of the therapeutic effects of two groups respectively. ResultsThe great trauma operation group： the good rate was 88.4% in study group were significantly higher than the control group 63.6%, the difference was statistically significant（P〈0.05）. The small trauma operation group： the good rate was 91.4% in study group were higher than the control group 89.5%, the difference was no statistically significant（P〈0.05）. Conclusion The effect of sufentanil treatment for restlessness during general anesthesia convalescence was better than propofol, has higher clinical value, there was no difference between the two in small trauma operation group.