瑞芬太尼在胸外科麻醉手术中的麻醉效果

Anesthetic Effect of Remifentanil in Thoracic Surgery

目的 观察瑞芬太尼在胸外科麻醉手术中的应用效果.方法 选取2018年1月至2019年1月江西省赣州市赣县区人民医院收治的68例胸外科患者,随机分成试验组和对照组,各34例.试验组采用瑞芬太尼进行静脉麻醉手术,对照组采用传统芬太尼进行静脉麻醉手术.术后比较2组患者麻醉前和麻醉后的生命状态、插管时和插管后3?min的体征反映、拔出双腔管前后5?min的心率(HR)和脉搏(MAP)动态情况、术后患者苏醒时间长短、患者中疼痛感知以及术后出现的其他不良反应.结果 在术后,对照组患者的恢复数据要明显低于试验组的基础数据(P<0.05);试验组患者意识恢复时间、心率变化以及不良反应发生率均显著低于对照组(P<0.05).结论 瑞芬太尼在胸外科麻醉手术中的麻醉效果、安全系数都高于芬太尼.

Objective To observe the effect of remifentanil in thoracic anesthesia.Methods A total of 68 patients with thoracic surgery from January 2018 to January 2019 in Ganxian People's Hospital,Ganzhou City,Jiangxi Province were randomly divided into experimental group and control group,34 patients each.In the experimental group,remifentanil was used for intravenous anesthesia,while in the control group,conventional fentanyl was used for intravenous anesthesia.The changes of heart rate(HR)and pulse rate(MAP)were compared between the two groups before and after anesthesia,3 min after intubation and 5 min before and after extraction of double lumen catheter.The duration of postoperative recovery,the perception of pain in the patient,and other adverse events.Results After operation,the recovery data of the control group were significantly lower than that of the experimental group(P<0.05).The time of consciousness recovery,the change of heart rate and the incidence of adverse reactions in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion The safety factor of remifentanil in thoracic anesthesia is higher than that of fentanyl.