摘要
目的分析在颈淋巴结结核手术中应用丙泊酚复合瑞芬太尼麻醉对患者生命体征指标的影响。方法方便选取2022年6月—2024年6月长春市传染病医院接收的82例颈淋巴结结核手术患者为研究对象,按照不同的麻醉方式将患者分为对照组、观察组,均41例,对照组予以丙泊酚+氯胺酮麻醉、观察组予以丙泊酚+瑞芬太尼麻醉。对比两组生命体征、麻醉相关指标及不良事件。结果对照组麻醉维持10 min后、手术完毕即刻的心率、舒张压、收缩压的平稳程度均差于观察组,差异均有统计学意义(P均<0.05)。对照组术中体动次数、丙泊酚用量多于观察组,苏醒室停留时间长于观察组,差异均有统计学意义(P均<0.05)。观察组不良事件总发生率为2.44%(1/41),低于对照组的19.51%(8/41),差异有统计学意义(χ^(2)=4.493,P<0.05)。结论颈淋巴结结核手术患者采用丙泊酚复合瑞芬太尼麻醉优势明显,麻醉效果佳且减少对生命体征指标影响,值得临床借鉴。
Objective To analyze the effect of propofol combined with remifentanil anesthesia on the vital signs of pa-tients in cervical lymph node tuberculosis surgery.Methods From June 2022 to June 2024,eighty-two patients with cervical lymph node tuberculosis received by Changchun Infectious Disease Hospital were conveniently selected as the research objects.According to different anesthesia methods,the patients were divided into control group and obser-vation group,forty-one cases in each group.The control group was given propofol+ketamine anesthesia,and the ob-servation group was given propofol+remifentanil anesthesia.The vital signs,anesthesia-related indicators and ad-verse events were compared between the two groups.Results The degree of stability of heart rate,diastolic blood pres-sure and systolic blood pressure of the control group were worse than those of the observation group at 10 min after an-esthesia maintenance and immediately after operation,and the differences were statistically significant(all P<0.05).The number of body movements and the dosage of propofol in the control group were more than those in the observation group,and the residence time in the recovery room was longer than that in the observation group,the differences were statistically significant(all P<0.05).The total incidence of adverse events in the observation group was 2.44%(1/41),which was lower than 19.51%(8/41)in the control group,and the difference was statistically significant(χ^(2)=4.493,P<0.05).Conclusion Propofol combined with remifentanil has obvious advantages in anesthesia for patients with cervical lymph node tuberculosis.The anesthesia effect is good and the influence on vital signs is reduced,which is worthy of clinical reference.
作者
张瑞霞
ZHANG Ruixia(Department of Anesthesiology,Changchun Infectious Disease Hospital,Changchun 130000,Jilin,China)
出处
《系统医学》
2025年第12期63-66,共4页
Systems Medicine
关键词
颈淋巴结结核
丙泊酚
瑞芬太尼
麻醉效果
生命体征
不良事件
Cervical lymph node tuberculosis
Propofol
Remifentanil
Anesthetic effect
Vital signs
Adverse events
