舒芬太尼和芬太尼治疗全麻患者苏醒期躁动疗效观察与比较

目的观察比较舒芬太尼和芬太尼对全麻苏醒期躁动的治疗效果。方法全麻苏醒期躁动患者60例随机分为舒芬太尼组(S组)和芬太尼组(F组)各30例,S组给予舒芬太尼治疗,F组给予静脉注射芬太尼。比较2组用药前后平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2)、镇痛效果及躁动缓解率。结果 2组用药后VAS、Ramsay镇痛评分MAP及HR改善情况均优于用药前,差异有统计学意义(P<0.05)。S组MAP及HR改善情况、躁动缓解情况优于F组,差异有统计学意义(P<0.05和P<0.01)。结论舒芬太尼对全麻苏醒期躁动的治疗优于芬太尼。

Comparson of fentanyl with sufentanyl on postoperative agitation in adult pations after general anesthesia

Objective To compare the eftects of fentanyl and sufentanil on postoperative agitation in adult patients after general anesthesia.Methods Sixty adult patients suffered from postoperative agitation after general anesthesia were randomized into S and F group with 30 cases in each group.They received intravenously fentanyl 1ug/Kg（group F）,sufentanyl 0.1ug/Kg（group S）respectivety.The MAP and BP,SpO2 and analgesic effect and the agitation relieve rate were assessed before and after treatment.Results The Postoperative improvement of analgesic score,MAP and HR in both group were better than those befroe treatment,and the difference were significant（P0.05）,and the improvement of MAP,HR and agitation relieve in group S were better than those in group F,and the difference was significant（P0.05）.Conclusion Sufentanil patients after general anesthesia is better than fentanyl treatment.