舒芬太尼与芬太尼用于神经手术麻醉的临床分析

Clinical analysis of sufentanil and fentanyl applied on nerve anesthesia

目的探讨舒芬太尼与芬太尼在神经手术麻醉中应用的临床效果。方法选取66例经神经手术治疗的患者,根据麻醉药物的不同将其分为两组,每组33例。两组均采用静脉复合麻醉,其中对照组采用芬太尼麻醉,观察组采用舒芬太尼麻醉。分别测量记录各项麻醉评估指标,分析两种药物的临床效果。结果两组麻醉诱导前各项指标未见明显差异;两组心率、收缩压、舒张压在麻醉诱导时最低值、拔管时最高值、人工气腹后最高值均比麻醉后低;而观察组术后清醒时间和气管拔管时间与对照组相比,明显缩短。结论舒芬太尼在神经手术的麻醉中效果良好,具有很高的临床应用价值。

Objective To study the effects of sufentanil and fentanyl on nerve anesthesia. Methods Sixty-six patients underwent nerve surgery were selected according to the anesthetic drugs,and were divided into two groups with 33 cases in each group. Both groups had compound vein anesthesia; fentanyl anesthesia was given in the control group,and sufentanil was given in the observation group. The anesthesia evaluation indexes were measured,and the clinical effects of the two drugs were analyzed. Results Before anesthesia induction,the indicators had no significant difference between the two groups. The levels of HR,SBP,DBP during anesthesia induction,peak when drawing tube,artificial pneumoperitoneum were lower than those after anesthesia. The waking time and tracheal extubation time in the observation group were significantly shorter than those in the control group. Conclusion The effect of sufentanil on neurological surgery anesthesia is good,and has very high clinical value.