盐酸羟考酮在腭裂修复术患者麻醉中的应用研究

来源 :湖南师范大学学报(医学版) | 被引量 : 0次 | 上传用户:lzg31142003
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目的 :探讨盐酸羟考酮在腭裂修复手术中的麻醉效果。方法 :选取我院自2014年8月~2015年8月间收治的先天性腭裂患者60例作为实验对象,按照双盲随机原则将其分成两组,即对照组患者30例静脉麻醉诱导成功后使用靶控输注瑞芬太尼麻醉维持,观察组患者30例行静脉麻醉诱导成功后使用盐酸羟考酮麻醉维持,对比两组患者的麻醉前后、手术前后生命体征表现情况,记录两组患者呼吸系统恢复时间、清醒时间、并发症情况等。结果 :两组患者麻醉诱导后其心率(HR)、血压(BP)下降明显,数据差异显著;观察组患者拔管后呼吸功能恢复时间、清醒时间均明显短于对照组,数据差异显著。结论 :在腭裂修复手术治疗前使用盐酸羟考酮麻醉剂患者呼吸系统的恢复时间和清醒时间明显更短,气管辅助呼吸时间缩短,术后并发症发生率低,值得推广使用。 Objective: To investigate the anesthetic effect of oxycodone hydrochloride in cleft palate repair surgery. Methods: Sixty patients with congenital cleft palate treated in our hospital from August 2014 to August 2015 were selected as experimental subjects, and were divided into two groups according to the double-blind random principle, that is, 30 patients in the control group were successfully induced by intravenous anesthesia Target controlled infusion of remifentanil anesthesia was maintained in the observation group of 30 patients after intravenous anesthesia induction success with oxycodone hydrochloride anesthesia to maintain two groups of patients before and after anesthesia, before and after vital signs, recording the two groups of patients Respiratory system recovery time, awake time, complications and so on. Results: The heart rate (HR) and blood pressure (BP) decreased significantly after anesthesia induction in both groups, and the difference was significant. The recovery time and awake time of the respiratory function in the observation group were significantly shorter than those in the control group after extubation. Conclusion: The recovery time and awake time of respiratory system before the operation of cleft palate repair surgery were significantly shorter, the trachea-assisted breathing time shortened, and the incidence of postoperative complications was low, which deserved to be widely used.
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