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高血流动力学患者瑞芬太尼和丙泊酚麻醉的临床研究。

Clinical Study on Anesthesia with Remifentanil and Propofol in Patients with High Hemodynamics.

出版信息

Altern Ther Health Med. 2022 May;28(4):44-49.

PMID:35452420
Abstract

OBJECTIVE

To study the effect of remifentanil and propofol as an anesthesia regimen in patients with high hemodynamics.

METHODS

From January 2019 to October 2020, 200 patients with high hemodynamics undergoing surgery at the First Affiliated Hospital of Nanchang University in China were selected as study participants, including 100 patients anesthetized with remifentanil and propofol (research group), and 100 patients anesthetized with fentanyl and propofol (control group). Vital signs, hemodynamic changes and recovery time after anesthesia were compared in the 2 groups and any adverse events while under anesthesia were recorded.

RESULTS

Both groups had significant fluctuations in vital signs and hemodynamics during anesthesia (P > .05), but the research group showed smaller changes with more stable vital signs and hemodynamics (P < .05). In addition, postoperative recovery time from anesthesia was shorter and the incidence of adverse events was lower in the research group than in the control group (P < .05).

CONCLUSION

Remifentanil-propofol anesthesia is simple, convenient, safe and reliable in patients with high hemodynamics, and can integrate narcotic drugs with blood pressure control.

摘要

目的

研究瑞芬太尼和丙泊酚作为一种麻醉方案在高血液动力学患者中的效果。

方法

选取 2019 年 1 月至 2020 年 10 月在南昌大学第一附属医院接受手术的 200 例高血液动力学患者作为研究对象,其中 100 例患者接受瑞芬太尼和丙泊酚麻醉(研究组),100 例患者接受芬太尼和丙泊酚麻醉(对照组)。比较两组患者的生命体征、麻醉后血流动力学变化及恢复时间,记录麻醉过程中的不良反应。

结果

两组患者麻醉期间生命体征和血流动力学均有明显波动(P >.05),但研究组变化较小,生命体征和血流动力学更稳定(P <.05)。此外,研究组患者麻醉后恢复时间短,不良反应发生率低于对照组(P <.05)。

结论

瑞芬太尼-丙泊酚麻醉在高血液动力学患者中简单、方便、安全可靠,可将麻醉药物与血压控制相结合。

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Clinical Study on Anesthesia with Remifentanil and Propofol in Patients with High Hemodynamics.高血流动力学患者瑞芬太尼和丙泊酚麻醉的临床研究。
Altern Ther Health Med. 2022 May;28(4):44-49.
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