舒芬太尼与瑞芬太尼应用于骨科手术患者中的麻醉效果对比
朱鸿霞
（东明县人民医院麻醉科，山东 菏泽，274500）
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摘要：
目的 对舒芬太尼与瑞芬太尼应用于骨科手术患者中的麻醉效果进行对比分析。方法 选取我院收治的骨科病手术患者共76例，随机分成对照组和观察组，各38例，对照组患者采用瑞芬太尼对患者进行麻醉，观察组患者采用舒芬太尼对患者进行麻醉，比较两组患者的麻醉效果。结果 手术结束后30、60min，观察组患者的VAS 评分分别为（1.63±0.87）分、（2.43±1.78）分明显低于对照组的（3.52±1.33）分、（5.34±2.16）分（P<0.05）；手术结束后，观察组患者恢复自主呼吸、定向力、苏醒的时间及不良反应发生情况明显优于对照组（P<0.05）。结论 舒芬太尼对患者麻醉后产生的不良反应发生较少，疼痛感降低显著，效果较瑞芬太尼理想，值得在广泛运用。
关键词：舒芬太尼；瑞芬太尼；静脉麻醉
中图分类号：R614.2+4文献标志码：A文章编号：2096-1413(2017)11-0046-02
Anesthesia effect comparison between sufentanil and remifentanil in patients with orthopedic surgery
ZHU Hong-xia
(Department of Anesthesia, Dongming County Hospital, Heze 274500, China)
ABSTRACT: Objective To analyze and compare the anesthesia effect of sufentanil and remifentanil anesthesia in patients with orthopedics surgery. Methods Seventy -six cases of patients with orthopedics surgery were randomly divided into control group and observation group, with 38 cases in each group. The control group received remifentanil anesthesia, while the observation group treated with sufentanil anesthesia, the anesthesia effects were compared in the two groups. Results Thirty and sixty minutes after the surgery, the VAS scores in the observation group were (1.63 ±0.87), (2.43 ±1.78) respectively, which were lower than (3.52±1.33), (5.34±2.16) of the control group (P<0.05); after operation, the recovery time of spontaneous breathing, directional force, palinesthesia and adverse reactions in the observation group were better than those of the control group (P<0.05). Conclusion Sufentanil has a lower adverse reaction and less pain after anesthesia than remifentanil, it is worthy widely application in clinic.
KEYWORDS: sufentanil; remifentanil; intravenous anesthesia
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