中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
16期
86-88
,共3页
鼻内镜手术%七氟醚%瑞芬太尼
鼻內鏡手術%七氟醚%瑞芬太尼
비내경수술%칠불미%서분태니
Nasal endoscopic surgery%Sevoflurane%Remifentanil
目的：探讨瑞芬太尼复合七氟醚在内镜手术控制性降压中的应用及临床效果；方法：从本院2012年3月-2014年6月接受鼻内镜手术患者中选取84例为观察对象，随机数字表法分为观察组与对照组，每组42例，两组患者均采用七氟醚静吸复合麻醉，对照组使用硝酸甘油，观察组使用瑞芬太尼，观察两组患者手术各时间段HR变化及术后情况。结果：观察组降压期间HR明显低于对照组，SSFQ评分及术中出血量明显低于对照组，比较差异具有统计学意义（P<0.05），拔管时间比较差异无统计学意义。结论：在鼻内镜手术控制性降压中，使用瑞芬太尼复合七氟醚，能有效提高减缓心率，促进血压稳定，减少术中出血量，值得临床推广运用。
目的：探討瑞芬太尼複閤七氟醚在內鏡手術控製性降壓中的應用及臨床效果；方法：從本院2012年3月-2014年6月接受鼻內鏡手術患者中選取84例為觀察對象，隨機數字錶法分為觀察組與對照組，每組42例，兩組患者均採用七氟醚靜吸複閤痳醉，對照組使用硝痠甘油，觀察組使用瑞芬太尼，觀察兩組患者手術各時間段HR變化及術後情況。結果：觀察組降壓期間HR明顯低于對照組，SSFQ評分及術中齣血量明顯低于對照組，比較差異具有統計學意義（P<0.05），拔管時間比較差異無統計學意義。結論：在鼻內鏡手術控製性降壓中，使用瑞芬太尼複閤七氟醚，能有效提高減緩心率，促進血壓穩定，減少術中齣血量，值得臨床推廣運用。
목적：탐토서분태니복합칠불미재내경수술공제성강압중적응용급림상효과；방법：종본원2012년3월-2014년6월접수비내경수술환자중선취84례위관찰대상，수궤수자표법분위관찰조여대조조，매조42례，량조환자균채용칠불미정흡복합마취，대조조사용초산감유，관찰조사용서분태니，관찰량조환자수술각시간단HR변화급술후정황。결과：관찰조강압기간HR명현저우대조조，SSFQ평분급술중출혈량명현저우대조조，비교차이구유통계학의의（P<0.05），발관시간비교차이무통계학의의。결론：재비내경수술공제성강압중，사용서분태니복합칠불미，능유효제고감완심솔，촉진혈압은정，감소술중출혈량，치득림상추엄운용。
Objective:To analyze the application and clinical effects of remifentanil with sevoflurane in the controlling hypotension for nasal endoscopic surgery.Method:84 patients who were conducted the nasal endoscopic surgery in our hospital from March 2012 to June 2014 were taken as the research objects,and these patients were randomly divided into control group and observation group,with 42 patients in each group.Then,both of the two groups were adopted the sevoflurane combined intravenous with inhalation anesthesia.Then,in the control group,they were treated with the nitroglycerin while in the observation group,they were treated with the remifentanil.Then,the change of HR in the different periods during the operations and the situations after surgeries of both the two groups were observed.Result:The HR during the hypertension in the observation group was evidently lower than the control group.In addition,the SSFQ score and the intraaoperative blood volume in the observation group were evidently lower than that in the control group and the differences had the statistical significance (P<0.05). However,the extubation time did not have evident significances (P>0.05).Conclusion:The applications of remifentanil with sevoflurane in the controlling hypotension for nasal endoscopic surgery can effectively improve the bradycardiac,promote the steady blood pressure and decrease the blood volume during the surgeries.Thus,it should be promoted in the clinic applications.
