中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
9期
139-140
,共2页
舒芬太尼%瑞芬太尼%急诊脑外伤%麻醉效果%安全性
舒芬太尼%瑞芬太尼%急診腦外傷%痳醉效果%安全性
서분태니%서분태니%급진뇌외상%마취효과%안전성
Sufentanil%Remifentanil%Emergency Brain Trauma%Anesthesia Effect%Safety
目的：研究舒芬太尼与瑞芬太尼在急诊脑外伤手术麻醉中的应用效果以及安全性。方法以麻醉方式为背景，随机选择2013年1月—2014年10月急诊科收入治疗的80例脑外伤患者作为研究对象，所有患者均接受手术治疗，行舒芬太尼麻醉的40例患者作为研究组，行瑞芬太尼麻醉的40例患者作为对照组，归纳分析两种麻醉方式的临床效果及安全性。结果研究组不良反应发生率为7.5%，对照组为12.5%，组间差异无统计学意义(P>0.05)；两组患者在CM-RO2、CBF、ICP、心率、平均动脉压、恢复自主呼吸时间以及睁眼时间的比较上，差异有统计学意义(P<0.05)。结论舒芬太尼在临床急诊脑外伤手术患者的麻醉中效果优于瑞芬太尼，血流动力学指标及颅脑功能稳定，有效降低患者术后苏醒时间，可作为安全可靠的麻醉方式在外科手术中进行推广。
目的：研究舒芬太尼與瑞芬太尼在急診腦外傷手術痳醉中的應用效果以及安全性。方法以痳醉方式為揹景，隨機選擇2013年1月—2014年10月急診科收入治療的80例腦外傷患者作為研究對象，所有患者均接受手術治療，行舒芬太尼痳醉的40例患者作為研究組，行瑞芬太尼痳醉的40例患者作為對照組，歸納分析兩種痳醉方式的臨床效果及安全性。結果研究組不良反應髮生率為7.5%，對照組為12.5%，組間差異無統計學意義(P>0.05)；兩組患者在CM-RO2、CBF、ICP、心率、平均動脈壓、恢複自主呼吸時間以及睜眼時間的比較上，差異有統計學意義(P<0.05)。結論舒芬太尼在臨床急診腦外傷手術患者的痳醉中效果優于瑞芬太尼，血流動力學指標及顱腦功能穩定，有效降低患者術後囌醒時間，可作為安全可靠的痳醉方式在外科手術中進行推廣。
목적：연구서분태니여서분태니재급진뇌외상수술마취중적응용효과이급안전성。방법이마취방식위배경，수궤선택2013년1월—2014년10월급진과수입치료적80례뇌외상환자작위연구대상，소유환자균접수수술치료，행서분태니마취적40례환자작위연구조，행서분태니마취적40례환자작위대조조，귀납분석량충마취방식적림상효과급안전성。결과연구조불량반응발생솔위7.5%，대조조위12.5%，조간차이무통계학의의(P>0.05)；량조환자재CM-RO2、CBF、ICP、심솔、평균동맥압、회복자주호흡시간이급정안시간적비교상，차이유통계학의의(P<0.05)。결론서분태니재림상급진뇌외상수술환자적마취중효과우우서분태니，혈류동역학지표급로뇌공능은정，유효강저환자술후소성시간，가작위안전가고적마취방식재외과수술중진행추엄。
Objective This paper is to investigate application effects of Sufentanil and Remifentanil in emergency brain trauma surgical anesthesia and the safety.Methods Eighty patients with brain trauma in December, 2013 to December, 2014 admitted and treatment by the Emergency Department with the anesthesia as background were selected as research subjects, all patients were treated with surgeries, 40 patients undergoing Sufentanil anesthesia were divided into the research group, and remaining 40 patients undergoing Remifentanil anesthesia were divided into the control group, clinical efficacy and safety of anesthesia methods were inductively analyzed.Results The incidence of adverse reactions in the research group hit 7.5%, and that value in the control group hit 12.5%, and there were not significant differences between groups(P>0.05). The comparisons in CM - RO2,CBF,ICP,heart rate, mean arterial pressure, and recovery time of spontaneous breathing and the time of opening(P<0.05), the differences were statistically significant.Conclusions The anesthesia effect of Sufentanil in clinical emergency treatment of patients undergoing brain trauma surgeries was better than that of Remifentanil, hemodynamic index and cerebral function are stability, effectively reducing awakening time of postoperative patients, and it can be promoted as a safe and reliable way of anesthesia.
