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目的：观察瑞芬太尼复合异丙酚对脊柱结核患者麻醉苏醒质量的影响。方法：将本院2011年5月至2013年3月期间收诊的脊柱结核手术患者随机分成两组，对照组和观察组各72例，对照组采用异丙酚麻醉，观察组则采用瑞芬太尼复合异丙酚麻醉。比较术后第4、8、12、24h两组患者的V A S评分、BCS评分及Ramsay评分差异，及术后苏醒质量差异差异。结果：术后第4、8、12、24h观察组患者的VAS、Ramsay评分显著低于对照组，而BCS评分则显著高于对照组，P＜0.05；观察组苏醒期躁动分级为0级、1级及气管拔管前精神状态为安静的比例显著高于对照组（P＜0.05）。结论：瑞芬太尼复合异丙酚用于脊柱结核手术麻醉患者的镇痛效果、镇静效果好，术后苏醒质量优。“,”Objective: To observe the effect of of remifentanil and propofol in patients with spinal tuberculosis during anesthesia recovery period. Methods: The patients diagnosed with spinal tuberculosis in our hospital from May 2011 to March 2013 with surgery were randomly divided into two groups: the control group and the observation group, and 72 cases in each group. The control group was treated with propofol anesthesia, and the observation group was taken with remifentanil fentanyl and propofol anesthesia. The differences of the VAS scores, BCS score and Ramsay score 4,8,12 and 24 hours after surgery and differences in postoperative recovery quality differences of the two groups were compared. Results: 4,8,12,24 hours after surgery, the VAS, Ramsay scores were significantly lower than the control group, while BCS score was significantly higher, P <0.05; The restlessness was graded as 0, 1 and mental state of quiet before tracheal extubation was significantly higher than the control group (P <0.05). Conclusion: The effect of remifentanil and propofol anesthesia for patients with spinal tuberculosis analgesia, sedation effect and postoperative recovery quality is excellent.