| 舒芬太尼-瑞芬太尼联合应用于口腔颌面外科手术全麻的临床观察 |
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| 引用本文： | 年春苗,张卫. 舒芬太尼-瑞芬太尼联合应用于口腔颌面外科手术全麻的临床观察[J]. 医药论坛杂志, 2011, 0(19): 60-61,63 |
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| 作者姓名： | 年春苗 张卫 |
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| 作者单位： | 郑州大学第一附属医院麻醉科; |
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| 摘 要： | 目的探讨舒芬太尼-瑞芬太尼联合镇痛全麻用于口腔颌面外科手术的效果,可行性和安全性。方法60例口腔颌面外科手术患者随机分为3组:瑞芬太尼组(RF组)、舒芬太尼组(SF组)、舒芬太尼联合瑞芬太尼组(SR组)。记录苏醒期拔管时间、拔管时心率和血压、麻醉时间及各阿片类麻醉药用量、患者拔管后即刻及离开恢复室时的伤口疼痛程度,苏醒期躁动的例数。结果 SR组患者离开PACU时疼痛评分明显低于RF组(P<0.05);SR组术毕拔管时间、恢复室停留时间明显短于SF组(P<0.05);拔管后10min呼吸频率明显快于SF组(P<0.05);SR组苏醒时及离开PACU时MAP和HR明显低于RF组(P<0.05)。结论舒芬太尼与瑞芬太尼联合用于口腔颌面外科手术的全麻中,可使术中血流动力学平稳、苏醒期安全迅速。
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| 关 键 词： | 口腔颌面外科 镇痛 瑞芬太尼 舒芬太尼 |
Clinical observation of effects of Sufentanil-Remifentanyl joint Analgesia during general anesthesia for Oral and Maxillofacial surgery |
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| NIAN Chun-miao,ZHANG Wei The First Affiliated Hospital of Zhengzhou University,Zhengzhou ,China. Clinical observation of effects of Sufentanil-Remifentanyl joint Analgesia during general anesthesia for Oral and Maxillofacial surgery[J]. Journal of Medical Forum, 2011, 0(19): 60-61,63 |
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| Authors: | NIAN Chun-miao ZHANG Wei The First Affiliated Hospital of Zhengzhou University Zhengzhou China |
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| Affiliation: | NIAN Chun-miao,ZHANG Wei The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China |
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| Abstract: | Objective To discuss the effect and feasibility as well as safety of sufentanil-remifentanyl joint analgesia during general anesthesia for oral and maxillofacial surgery.Methods Sixty patients for elective oral and maxillofacial surgery with general anesthesia were enrolled and randomly divided into three groups.The time,heart rate and blood pressure during extubation were recorded as welll as the dose of each opiod analgesics,the immediate postoperative pain as soon as the patient was extubated,the pain as... |
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| Keywords: | Oral and maxillofacial surgery Analgesia Remifentanyl Sufentanil |
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