舒芬太尼麻醉用于心血管手术的临床探讨

Clinical Study of Sufentanil Anesthesia for Cardiovascular Surgery

目的研究与分析舒芬太尼麻醉用于心血管手术的临床效果。方法方便选取来该院进行心血管手术治疗的患者86例,研究对象选取时间为2017年11月-2018年11月,随后将这86例患者分为芬太尼组(43例)与舒芬太尼组(43例)。其中对芬太尼组患者采取芬太尼麻醉药物进行麻醉诱导,而对舒芬太尼组患者采取舒芬太尼麻醉药物进行麻醉诱导,随后观察两组患者麻醉诱导前、麻醉诱导后以及气管插管后的血液动力学各项指标以及麻醉综合各项指标等情况。结果舒芬太尼组与芬太尼组患者麻醉诱导后以及气管插管后的血液动力学各项指标以及麻醉综合各项指标等数据均较佳,但是舒芬太尼组患者的各项指标更佳[(58±4)次/min,(61±8)次/min,(70±6)mmHg,(77±8)mmHg,(6.8±1.4)mmHg,(8.5±1.6)mmHg,(157±51)g,(2.1±0.7)g/kg],差异有统计学意义(t=5.796 0、2.722 8、3.421 3、3.637 4、2.209 8、3.278 7、3.317 6、3.776 1,P<0.05)。结论舒芬太尼麻醉用于心血管手术的临床效果显著,值得进一步推广与使用。

Objective To study and analyze the clinical effects of sufentanil anesthesia for cardiovascular surgery. Methods Eighty-six patients who underwent cardiovascular surgery in our hospital were convenient selected. The subjects were selected from November 2017 to November 2018. The 86 patients were then divided into fentanyl group(43 cases) and Sufentanil group(43 cases). In the fentanyl group, fentanyl anesthesia was used for anesthesia induction, while in the sufentanil group, sufentanil was used for anesthesia induction. Then, the two groups were observed before anesthesia induction, after anesthesia induction, and trachea hemodynamic indicators after intubation and various indicators of anesthesia. Results The hemodynamic parameters and anesthesia comprehensive indexes of sufentanil group and fentanyl group were better after anesthesia induction and after tracheal intubation, but the patients in sufentanil group was better [(58±4) times/min,(61±8)times/min,(70±6) mmHg,(77±8) mmHg,(6.8±1.4) mmHg,(8.5±1.6) mmHg,(157±51)g,(2.1±0.7)g/kg], statistically significant(t=5.796 0, 2.722 8, 3.421 3, 3.637 4, 2.209 8, 3.278 7, 3.317 6, 3.776 1, P<0.05). Conclusion The clinical effect of sufentanil anesthesia for cardiovascular surgery is significant and worthy of further promotion and use.