|本期目录/Table of Contents|

[1]张文龙,卢承志,刘建东,等.舒芬太尼诱导麻醉老年特重烧伤削切痂手术的临床观察[J].医学研究与战创伤救治(原医学研究生学报),2011,13(06):497-499.
　ZHANG Wen-long,LU Cheng-zhi,LIU Jian-dong,et al.Sufentanil induced anethesia in the elderly with severe burn for surgical excision cutting[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(06):497-499.
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舒芬太尼诱导麻醉老年特重烧伤削切痂手术的临床观察()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年06期
页码:
497-499
栏目:
出版日期:
2011-11-20

文章信息/Info

Title:
Sufentanil induced anethesia in the elderly with severe burn for surgical excision cutting
文章编号:
1672-271X(2011)06-0497-03
作者:
张文龙1; 卢承志1; 刘建东1; 蔡少甫2; 郑庆亦2
363000 福建漳州,解放军175医院，1.麻醉科，2.烧伤科
Author(s):
ZHANG Wen-long1; LU Cheng-zhi1; LIU Jian-dong1; CAI Shao-pu2; ZHENG Qing-yi2
1.Department of Anaesthesia,2.Department of Burn,175 Hospital of PLA,Zhangzhou,Fujian 363000,China
关键词:
特重烧伤; 老年人; 全身麻醉
Keywords:
severe burn;  elderly;  general anesthesia
分类号:
R826.54
DOI:
-
文献标志码:
A
摘要:
目的 探讨老年人特重烧伤削切痂麻醉时使用舒芬太尼诱导瑞芬太尼维持辅助镇痛效果。方法 老年人特重度烧伤手术患者75例，随机分为舒芬太尼诱导瑞芬太尼维持组(SR组)，芬太尼诱导瑞芬太尼维持组(FR组)，单纯瑞芬太尼组(RR组)，每组25例。观察诱导前(T0)、诱导插管时(T1)、插管后1 min(T2)、插管后5 min(T3)、切痂1 min(T4)，取皮1 min(T5)、平均动脉压(MAP)、心率(HR)值、记录术中体动、知晓情况、麻醉苏醒质量及术后4 h视觉模拟量表评分(VAS)，静脉患者自控镇痛(PCIA)药物用量及术后并发症发生情况。结果 麻醉期间血流动力学稳定SR组优于FR、RR组(P<0.01或P<0.05),术后4 h VAS评分及PCIA药物用量，SR组低于FR、RR组，FR组低于RR组(P<0.01)；术后躁动SR组低于FR、RR组(P<0.01)，FR组与RR组无差异；SR、RR组两组睁眼时间和拔管时间明显短于FR组(P<0.01)，SR组与RR组无差异。结论 接受舒芬太尼诱导麻醉的老年特重度烧伤患者,其术中血流动力学比较稳定，苏醒快速，不良反应少。
Abstract:
Objective To explore the efficacy of sufentanil induced anesthesia in severe burn patients cutting of old crust to maintain auxiliary of remifentanil analgesia. Methods 75 elderly patients with severe burn surgery were randomly divided into remifentanil sufentanil induction of the maintenance group (SR group),fentanyl,remifentanil induced by the maintenance group (FR group),remifentanil Group (RR group). Each group includes 25 patients. Observation was done before induction (T0),during induction and intubation (T1),after intubation 1 min (T2),after intubation 5 min (T3),escharectomy 1 min (T4),take the skin 1 min (T5). The mean arterial pressure (MAP),heart rate (HR) values were recorded at the body movement and aware of the situation. The quality of anesthesia,after 4 hours visual analog scale score (VAS),patient-controlled intravenous analgesia (PCIA) drug use and the occurrence of postoperative complications were recorded as well. Results Hemodynamic stability during anesthesia in SR group better than that in FR and RR group (P<0.01 and P<0.05). The VAS score after 4 hours and PCIA drug dosage in SR group were lower than that in FR and RR group (P<0.01). The postoperative agitation in SR group occurred fewer than that in FR,RR group (P<0.01). No differences were found in FR and RR. The opening eyes and extubation time in SR and RR group were significantly shorter than that in FR group (P<0.01),no differences in SR and RR were found. Conclusion Sufentanil induced anethesia in the elderly with severe burn for surgical excision cutting can maintain supplemental analgesia in intraoperative,keep hemodynamic stability,recovery fast and adverse reactionsreactions.

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备注/Memo

备注/Memo:
福建省漳州市科技计划项目(Z06077)
更新日期/Last Update: 2011-11-20