舒芬太尼与芬太尼在开胸术后全麻苏醒期镇静观察

目的比较舒芬太尼和芬太尼对择期开胸术全麻术后苏醒期患者的镇静效果。方法将42例行择期开胸手术的患者随机分为芬太尼组和舒芬太尼组。在手术结束前10min,分别给予芬太尼和舒芬太尼。观察两组患者术后的自主呼吸恢复时间、睁眼时间、拔管时间、麻醉恢复室的时间;拔管即刻、拔管后3min、出麻醉恢复室时的Ramsay镇静评分、躁动评分,并进行统计学分析。结果舒芬太尼组的Ramsay镇静评分明显高于芬太尼组,而其躁动评分低于芬太尼组。结论与芬太尼组比较,开胸患者手术结束前加用舒芬太尼能明显减少术后全麻苏醒期躁动的发生率,有利于患者的术后康复,减少术后并发症的发生。

Sedative Effect Comparison of Sufentanil Versus Fentanyl in Emergence Agitation after Thoracotomy

Objective To compare the sedative effect of sufentanil and fentanyl in emergence agitation after thoracotomy.Methods Forty two patients undergoing selective thoracic surgery were randomly divided into fentanyl group and sufentanil group.Fentanyl and sufentanil were used 10 min before the end of surgery in each group.The time points when spontaneous breathing recover,eye open,extubation and out of PACU were recorded.Ramsay sedation score and agitation score while extubating,3 min after extubation,out of PACU were carried out and analyzed.Results Ramsay sedation score of sufentanil group was higher than that of fentanyl group,while emergence agitation score of the sufentanil group was lower than that of fentanyl group.Conclusion Emergence agitation can be reduced significantly when sufentanil was used before the end of thoracic surgery,and this is helpful to the recover of patients and can decrease the postoperative complication.