摘要
目的:比较靶控输注( TCI)舒芬太尼( SF)与瑞芬太尼(RF)全凭静脉麻醉对正颌手术术后苏醒质量的影响。方法:纳入正颌手术患者40 例,随机分为SF 组和RF 组( n = 20)。离断颏部骨组织后,SF 组设定SF 效应室靶浓度0. 2 ng /ml,RF 组给予SF 0. 2 μg /kg 并设定RF 2 ng /ml 至出室。记录自主呼吸恢复、拔管、术后第一次按压镇痛泵时间;记录平均动脉压( MAP)及心率( HR),Ramsay 及视觉模拟评分( VAS)。结果: 2 组患者自主呼吸恢复及拔管时间差异无统计学意义( P > 0. 05);患者第一次按压镇痛泵的时间,SF 组较晚( P < 0. 05);RF 组Ramsay 评分较低( P < 0. 05),SF 组VAS 评分较低( P < 0. 05)。结论:正颌手术术中TCI 舒芬太尼可以获得更好的术后苏醒质量。
Objective: To assess the effects of sufentanil( SF) and remifentanil( RF) administered using target-controlled infusion ( TCI) on postoperative recovery quality in patients after orthognathic surgery. Methods: 40 adult patients scheduled for orthognathic surgery were randomly divided into 2 group ( n = 20),using Sufentanil-propofol TCI ( SF group) and remifentanil-propofol TCI ( SF group) respectively for anesthesia. When the chin bone had been cut,in the SF group,targeted the effect-site concentration of SF was set at 0. 2 ng /ml;in the RF group,SF 0. 2 μg /kg bolus was administrated i. v. with the effect-site concentration of 2 ng /ml of RF was set. Results: The recovery time to spontaneous breathing and tracheal extubation time was similar in the 2 groups( P > 0. 05). The Ramsay score was lower and the visual analogue scale were greater in the RF group than those in SF group( P < 0. 05). Conclusion: TCI sufentanial obtained a better quality than TCI remifentanial of recovery after the orthognathic surgery.
作者
武海崟
王立宽
杨旭东
WU Haiyin;WANG Likuan;YANG Xudong(Department of Anesthesiology,Peking University School of Stomatology,Beijing 100081,China)
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2019年第4期587-590,共4页
Journal of Practical Stomatology