腹腔鏡下結(jié)直腸癌根治術(shù)患者麻醉中靶控輸注舒芬太尼和瑞芬太尼復(fù)合麻醉對其恢復(fù)狀況的影響分析

[摘要] 目的 分析腹腔鏡下結(jié)直腸癌根治術(shù)患者麻醉中靶控輸注舒芬太尼和瑞芬太尼復(fù)合麻醉對其恢復(fù)狀況產(chǎn)生的具體影響。方法 回顧性分析該院2015年6月—2016年6月期間收治的70例腹腔鏡下結(jié)直腸癌根治術(shù)患者的臨床資料，根據(jù)雙盲法將其分為研究組（35例）與對照組（35例）。研究組35例腹腔鏡下結(jié)直腸癌根治術(shù)患者給予靶控輸注舒芬太尼和瑞芬太尼復(fù)合麻醉；對照組35例腹腔鏡下結(jié)直腸癌根治術(shù)患者給予靶控輸注舒芬太尼麻醉；對比兩組腹腔鏡下結(jié)直腸癌根治術(shù)患者的拔管時間、蘇醒時間與不良反應(yīng)發(fā)生率。結(jié)果 研究組35例腹腔鏡下結(jié)直腸癌根治術(shù)患者的不良反應(yīng)發(fā)生率、蘇醒時間、拔管時間依次為5.71%、（8.86±4.57）min、（13.25±3.27）min，對照組35例腹腔鏡下結(jié)直腸癌根治術(shù)患者的不良反應(yīng)發(fā)生率為25.71%、（17.15±7.92）min、（23.14±4.48）min；兩組對比差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論 腹腔鏡下結(jié)直腸癌根治術(shù)患者麻醉中靶控輸注舒芬太尼和瑞芬太尼復(fù)合麻醉對其恢復(fù)狀況具有促進(jìn)作用，值得在臨床麻醉工作中推廣運用。

[關(guān)鍵詞] 腹腔鏡；結(jié)直腸癌根治術(shù)；靶控輸注；舒芬太尼；瑞芬太尼

[中圖分類號] R614 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742（2016）12（c）-0115-03

[Abstract] Objective Analysis of anesthesia in patients with laparoscopic colorectal cancer radical target controlled infusion sufentanil and fentanyl compound anesthesia of the specific influence on the recovery. Methods Retrospective analysis in June 2015 to June 2016 treated 70 cases of clinical data of laparoscopic colorectal cancer patients with radical prostatectomy， according to the double blind method divided into research group （35 cases） and control group （35 cases）. Group of 35 cases of laparoscopic colorectal cancer treated with target controlled infusion of sufentanil and fentanyl compound anesthesia. The control group of 35 cases of laparoscopic colorectal cancer treated with target controlled infusion of sufentanil anesthesia； Comparison of two groups of patients with laparoscopic colorectal cancer radical extubation time， wake up time and the incidence of adverse reactions. Results Group of 35 cases of patients with laparoscopic colorectal cancer radical incidence of adverse reactions， wake up of time， extubation time in turn （5.71%），（8.86±4.57）min and（13.25±3.27）min， the control group of 35 cases of patients with laparoscopic colorectal cancer radical the incidence of adverse reactions was 25.71%， （17.15±7.92）min and（23.14±4.48）min； The difference between the two groups was statistically significant（P< 0.05）. Conclusion Anesthesia in patients with laparoscopic colorectal cancer radical target controlled infusion of sufentanil and fentanyl compound anesthesia for its recovery has promoting effect， is worth popularizing in clinical anesthesia.

[Key words] Laparoscope； Colorectal cancer radical； Target controlled infusion； Sufentanil； Rui fentanyl

瑞芬太尼、舒芬太尼是臨床麻醉工作經(jīng)常選取的麻醉藥物，舒芬太尼具有止痛功效強(qiáng)等一系列優(yōu)勢，但是患者在使用之后蘇醒所需時間比較久；瑞芬太尼具有蘇醒所需時間短等優(yōu)點，但是極易引起患者出現(xiàn)不良反應(yīng)[1-4]。該文主要通過選取該院2015年6月—2016年6月期間收治的70例腹腔鏡下結(jié)直腸癌根治術(shù)患者的臨床資料，分析腹腔鏡下結(jié)直腸癌根治術(shù)患者麻醉中靶控輸注舒芬太尼和瑞芬太尼復(fù)合麻醉對其恢復(fù)狀況產(chǎn)生的具體影響，現(xiàn)報道如下。……