咪达唑仑复合瑞芬太尼在脊椎骨折手术麻醉中的临床应用分析

Clinical Application of Midazolam Combined With Remifentanil in Spinal Fracture Surgery Anesthesia

目的探究咪达唑仑复合瑞芬太尼在脊椎骨折手术麻醉中的效果。方法对照组采用瑞芬太尼复合丙泊酚,观察组采用咪达唑仑复合瑞芬太尼,对比两组手术前后生命体征变化及术后恢复。结果两组诱导前及拔管后5 min的HR、MAP、Sp O2水平无异常变化,P>0.05。观察组自主呼吸时间、睁眼苏醒时间均短于对照组,P<0.05。结论脊椎骨折手术中应用咪达唑仑复合瑞芬太尼,可取的满意的麻醉效果,且术后苏醒快。

Objective To explore the midazolam and remifentanil in anesthesia effect of spine fracture. Methods The control group using remifentanil combined with propofol,the observation group with midazolam and remifentanil,then compared to the two groups before and after the operation of changes of vital signs and postoperative recovery. Results In the two groups before induction and extubation after 5 min of HR,MAP,Sp O2 levels had no abnormal changes,P〈0.05. The observation group of spontaneous breathing time,recovery time of opening were shorter than that of the control group,P〈0.05. Conclusion The spine fracture surgery in the application of midazolam and remifentanil have desirable satisfactory anesthetic effect and postoperative recovery quickly.