摘要
目的观察瑞芬太尼用于甲状腺切除术麻醉时患者的苏醒时间及并发症的发生情况。方法选择2010年6月至2011年1月择期甲状腺切除术的患者56例,随机均分为两组,研究组28例的麻醉维持采用瑞芬太尼,对照组28例采用芬太尼,观察两组麻醉苏醒时间及不良反应。结果研究组意识恢复时间为(7.1±2.3)min,自主呼吸恢复时间为(5.1±2.0)min,清醒时间为(8.2±3.5)min,拔管时间为(9.3±4.3),均明显短于对照组(P<0.05);研究组低血压的发生率为25.0%,心动过缓的发生率为28.6%,与对照组比较差异无统计学意义(P>0.05)。结论瑞芬太尼用于甲状腺切除术麻醉,能明显缩短患者的苏醒时间,且不增加并发症,可在临床推广使用。
Objective To investigate the awakening time of remifentanil anesthesia in thyroidectomy and its complications.Methods All 56 cases undergoing elective thyroidectomy from Jun.2010 to Jan.2011 were selected and divided into two groups（28 cases in each group） according to odd-even number.The study group was given remifentanil for maintenance of anesthesia,while the control group was given fentanyl.The awakening time and complications of two groups were observed.Results The consciousness recovering time,autonomous respiration recovering time,awaking time and extubation time in the study group were shorter than those in the control group with statistical difference（P 0.05）.The rate of hypotension and bradycardia of two groups had no significant differences（P 0.05）.Conclusion Remifentanil application in surgical anesthesia for thyroidectomy can shorten the awakening time without increasing the complications and is worth clinical application.
出处
《中国药业》
CAS
2011年第23期91-91,共1页
China Pharmaceuticals
关键词
甲状腺切除手术
瑞芬太尼
麻醉维持
thyroidectomy
remifentanil
maintenance of general anesthesia
