舒芬太尼和芬太尼应用于腹腔镜胆囊切除术患者苏醒质量的比较

Comparison of the quality of recovery of sufentanil and fentanyl in patients undergoing laparoscopic cholecystectomy

目的:探讨舒芬太尼和芬太尼应用于腹腔镜胆囊切除术(LC)中患者苏醒质量的效果。方法:收治行LC患者94例,随机分为舒芬太尼(S)组和芬太尼(F)组,比较两组麻醉效果。结果:S组患者术后手术维持时间、呼吸恢复时间、睁眼时间、拔管时间、术后不良反应发生率、术后12 h内的疼痛评分和镇静强度均显著少于或低于F组(P<0.05)。结论:全麻腹腔镜胆囊切除术中,采用舒芬太尼诱导能减轻疼痛,减轻应激反应、躁动不安,提高术后苏醒质量。

Objective:To explore the quality of recovery of sufentanil and fentanyl in patients undergoing laparoscopiccholecystectomy(LC).Methods:94patients undergoing LC surgery were selected.They were randomly assigned to the sufentanil(S)group and the fentanyl(F)group.We compared the anesthetic effects between the two groups.Results:In the S group,the duration ofoperation,the time of respiratory recovery,the time of eye opening,the time of extubation,the incidence of postoperative adversereaction,the pain score and the sedation intensity within12hours after operation were significantly lower than those in the Fgroup(P<0.05).Conclusion:In general anesthesia laparoscopic cholecystectomy,sufentanil induction can reduce pain,relievestress and restlessness,and improve the quality of postoperative recovery.