在心脏手术中应用快通道心脏麻醉法的效果探析

Effect of fast track cardiac anesthesia in cardiac surgery

目的:探讨在心脏手术中应用快通道心脏麻醉法的效果。方法:择取2015年1月至2016年1月期间在聊城市第三人民医院进行心脏手术的60例患者作为研究对象。将这60例患者平均分为麻醉甲组(n=30)和麻醉乙组(n=30)。在术中使用常规麻醉法对麻醉甲组患者进行麻醉,使用快通道心脏麻醉法对麻醉乙组患者进行麻醉,然后比较两组患者术中镇痛的情况、OAA/S(警觉/镇静)评分的情况、术毕至拔管的时间、术毕至睁眼的时间、术毕至定位感恢复正常的时间和麻醉药的用量。结果:在术中,麻醉乙组患者中无疼痛感患者所占的比例高于麻醉甲组患者,其中OAA/S评分为5分的患者所占的比例高于麻醉甲组患者,差异具有统计学意义(P<0.05)。麻醉乙组患者术毕至拔管的时间、术毕至睁眼的时间和术毕至定位感恢复正常的时间均短于麻醉甲组患者,差异具有统计学意义(P<0.05)。麻醉乙组患者芬太尼和维库溴铵的用量均少于麻醉甲组患者,差异具有统计学意义(P<0.05)。结论:在心脏手术中应用快通道心脏麻醉法的效果确切,可有效地减轻患者术中的疼痛感,缩短其术毕至拔管的时间和术后意识恢复的时间,减少其芬太尼和维库溴铵的用量。

Objective： To investigate the effect of fast track cardiac anesthesia for cardiac surgery. Methods： Select 60 patients accepted cardiac surgery in Liaocheng Third People＇ s Hospital during January 2015 to January 2016 for research object. Randomly divided the patients into group A（n=30） and group B（n=30）. Do the routine anesthetic to group A in surgery, do fast track cardiac anesthesia for group B ,then compare analgesia situation, OAA/S score, extubation time, awakening time, time of the sense of location returned to normal and anesthetic dosage of 2 groups.Results： During surgery,the proportion of patients without pain in group B is higher than thatin group A, the proportion of patients got 5 points in OAA/S score in group B is higher than group A （ P 〈 0.05 ） . Extubation time, awakening time, time of the sense of location returned to normal of group B are shorter than group A （ P 〈 0.05 ） . Fentanyl and Vecuronium Bromide dosage in group B are less than that in group A （ P 〈 0.05 ） .Conclusion： Effect of applying Fast track cardiac anesthesia in cardiac surgery is definite,apply this anesthesia method in surgery can lighten pain of patient during surgery effectively,shorten the extubation time and awakening time,decrease dosage of Fentanyl and Vecuronium Bromide.