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《瑞芬太尼聯(lián)合異丙酚用于甲狀腺切除手術(shù)麻醉的臨床分析張春麗》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、瑞芬太尼聯(lián)合異丙酚用于甲狀腺切除手術(shù)麻醉的臨床分析張春麗海南省農(nóng)墾總醫(yī)院麻醉科570311【摘要】目的：觀察分析瑞芬太尼聯(lián)合異丙酚在甲狀腺切除手術(shù)屮的應(yīng)用效果。方法：選取自2014年12月到2015年12月我院收治的甲狀腺切除手術(shù)的患者112例作為研究對(duì)象，按隨機(jī)數(shù)字表法將研究對(duì)象分為觀察組和對(duì)照組，偶數(shù)者為觀察組，奇數(shù)者為對(duì)照組，每組56例。兩組患者術(shù)前均行氣管插管術(shù)進(jìn)行全身麻醉，并均采用持續(xù)靜脈泵注入異丙酚維持麻醉，對(duì)照組患者在此基礎(chǔ)上間斷推注芬太尼，觀察組患者在此基礎(chǔ)上持續(xù)靜脈泵注瑞芬太尼。觀察比較兩組患者
2、的臨床效果和不良反應(yīng)發(fā)生情況。結(jié)果：對(duì)照組患者的白主呼吸恢復(fù)時(shí)間、意識(shí)恢復(fù)時(shí)間和清醒時(shí)間明顯長(zhǎng)于觀察組，差異顯著，具有統(tǒng)計(jì)學(xué)意義(P<0.05)；觀察組患者的蘇醒評(píng)分明顯高于對(duì)照組，兩組差異顯著，具有統(tǒng)計(jì)學(xué)意義(P<0.05)o對(duì)照組患者的不良反應(yīng)發(fā)生率明顯高于觀察組，兩組差異顯著，具有統(tǒng)計(jì)學(xué)意義(P<0.05)o結(jié)論：在甲狀腺切除術(shù)屮應(yīng)用瑞芬太尼聯(lián)合異丙酚進(jìn)行麻醉，可以明顯縮短患者術(shù)后自主呼吸恢復(fù)時(shí)間、意識(shí)恢復(fù)時(shí)間和清醒時(shí)間，提高患者的術(shù)后的蘇醒評(píng)分，降低麻醉中不良反應(yīng)發(fā)生率，安全有效，因此可
3、以在臨床工作屮推廣應(yīng)用?！娟P(guān)鍵詞】瑞芬太尼；異丙酚；甲狀腺切除術(shù)；麻醉效果【Abstract]Objective：Toobserveandanalyzetheeffectofremifentanilcombinedwithpropofolintheoperationofthyroidgland.Methods：SelectedfromDecember2014toDecember2015inourhospitaldepartmentofgeneralsurgery(Departmentofgeneralsurger
4、ytoremove,headandnecksurgery,tumorsurgeryinourhospitaldo,remembertochangeEnglishthere)fromthethyroidsurgeryin112patientsastheresearchobject,randomlydividedintoobservationgroupandcontrolgroup,evenastheobservationgroup,oddforthecontrolgroup,56casesineachgroup.T
5、hetwogroupsofpatientsunderwentendotrachealintubationforgeneralanesthesia,andweretreatedbycontinuousintravenousinfusionofpropofolinjection,thepatientsinthecontrolgrouponthebasisofcontinuousinfusionoffentanybpatientsintheobservationgrouponthebasisofcontinuousin
6、travenousinfusionofremifentanil.theincideneeofclinicaleffectcomparisonoftwogroupsofpatientsandadversereactions.Results：Thecontrolgroupofpatientswithspontaneousbreathingrecoverytime,recoveryofconsciousnesstimeandrecoverytimewassignificantlylongerthanthatoftheo
7、bservationgroup,sigrdficantdifferencehasstatisticalsignificance(P<0.05)；observationgrouppatientsawakeningscorewassign訐icantlyhigherthanthatofthecontrolgroup,therewassignificantdiffereneebetweentwogroupshasstatisticalsignificance(P<0.05).Inthecontrolgrou
8、p,theincideneerateofadversereactionwassignificantlyhigherthanthatoftheobservationgroup,therewassignificantdiffereneebetweentwogroups,withstatisticalsignificance(P<0.05).Conclusion：Thyr
