舒芬太尼与芬太尼对腹腔镜脾切除术患者麻醉效果比较研究

Effect of Sufentanil and Fentanyl Anesthesia in Patients with Laparoscopic Splenectomy

目的:讨论舒芬太尼与芬太尼在腹腔镜脾切除术患者麻醉中的应用效果。方法:选择我院多孔腹腔镜脾切除术患者50例,采用随机数字表法随机分为两组,舒芬太尼组24例,芬太尼组26例,记录术后恢复呼吸时间、气管导管拔出时间、呼唤睁眼时间、疼痛语言、镇静情况和不良反应情况。将结果采用SPSS17.0进行数据分析,比较差异。结果:呼吸恢复时间(t=-3.996,P=0.001),导管拔除时间(t=-3.632,P=0.002)两组具有统计学意义(P<0.05),术后6h疼痛语言程度VRS比较(X^2=38.900,P=0.000)具有统计学意义,在术后躁动(X^2=7.232,P=0.011)方面具有统计学意义。结论:在腹腔镜脾切除术中,应用与等效剂量的芬太尼相比,舒芬太尼具有更佳的镇痛效果,恢复时间缩短,手术安全性高,值得临床推广应用。

Objective： To discuss application effect of anesthesia with sufentanil and fentanyl in laparoscopic splenectomy patients. Methods：Selected 50 patients with porous laparoscopic splenectomy in our hospital,randomly divided into two groups used a random number table, sufentanil group 24 cases,26 cases of fentanyl, recorded postoperative recovery time breathing, endotracheal catheter removal time, calling time to eye opening, pain language, sedation, and adverse reactions.The results were used SPSS17.0 to compare differences. Results：Breathing recovery time（t =-3.996, P = 0.001）, catheter removal time（t=-3.632, P= 0.002） groups was statistically significant（P〈0.05）, postoperative pain language proficiency VRS compares the 6h（X2=38.900, P=0.000） were statistically significant, in the postoperative agitation（X2=7.232, P=0.011） has statistical significance. Conclusions：In laparoscopic splenectomy, sufentanil has a better analgesic effect with equivalent doses of fentanyl, shorten recovery time, Improve surgery safe, worthy of clinical application.