硬膜外麻醉阻滞复合瑞芬太尼和异丙酚用于剖胸手术快通道麻醉的临床应用效果

Clinical application effect of epidural anesthesia combined with remifentanil and propofol for fast track anaesthesia in thoracotomy

目的:分析硬膜外麻醉阻滞复合瑞芬太尼和异丙酚用于剖胸手术快通道麻醉的应用效果。方法:收治剖胸手术患者92例,随机分为常规组与快通道组各46例。常规组给予常规麻醉,快通道组给予快通道麻醉,比较两组患者的不良反应及苏醒时间、拔管时间。结果:快通道组患者的不良反应明显少于常规组,苏醒时间更快,拔管时间更早,差异具有统计学意义(P<0.05)。结论:硬膜外麻醉阻滞复合瑞芬太尼和异丙酚用于剖胸手术快通道麻醉具有较好的应用效果。

Objective:To analyze the application effect of epidural anesthesia combined with remifentanil and propofol for fast track anaesthesia in thoracotomy.Methods:92 patients with thoracotomy were selected.They were randomly divided into the routine group and the fast track group with 46 cases in each.The routine group was given routine anesthesia,and the fast track group was given fast track anesthesia.The adverse reactions and recovery time,extubation time were compared between groups.Results:The adverse reaction of patients in fast track group was significantly less than that of the routine group;the recovery time was faster;the extubation time was earlier;the difference was statistically significant(P<0.05).Conclusion:Epidural anesthesia combined with remifentanil and propofol for fast track anaesthesia in thoracotomy has a good application effect.