陕西医学杂志2011，Vol.40Issue(2)：210-212,3.
瑞芬太尼微量泵输注在眼科局麻手术镇静镇痛中的应用
Application of micropump infusion of remifentanil in sedation and analgesia technique during ophthalmic surgery under local anesthesia
于军 1何欣 1邵勇平1
作者信息
- 1. 西安市第四医院麻醉科,西安,710004
- 折叠
摘要
Abstract
Objective: To evaluate the efficacy and safety of micropump infusion of remifentanil in sedation and analgesia technique during ophthalmic surgery under local anesthesia. Methods :Eighty ASA Class Ⅰ or Ⅱ patients undergoing the elective ophthalmic surgery under local anesthesia were randomly divided into two groups with 40 cases each. The patients received micropump infusion of remifentanil 0. 067μg · kg 1 · min -1 ( group R)or not (group C) respectively. Pain scale and sedation scale were measured at 4 intervals: before administration of anesthesia,15, 30min after surgery beginning and the end of surgery. An additional dose of sufentanil and adverse reactions were recorded. Results: 15, 30min after surgery beginning and the end of surgery, pain scale and sedation scale were significantly higher than that before administration of anesthesia(P ＜0. 05). At 30min after surgery beginning and the end of surgery ,sedation scale of group R was significantly higher than that in group C(P＜0. 05). Compared with patients in group C,group R pain scale of the end of surgery was significantly lower(P＜0. 05). An additional dose of sufentanil of group R was significantly lower than that in group C(P＜0. 05). Compared with patients in group C,group R the incidence of bradycardia was significantly higher (P＜ 0. 05) , and the incidence of restlessness and groan was significantly lower (P＜0. 05).Conclusion: Micropump infusion of remifentanil is effective and safe for sedation and analgesia during ophthalmic surgery under local anesthesia.关键词
眼外科手术/清醒镇静/镇痛/瑞芬太尼分类
医药卫生引用本文复制引用
于军,何欣,邵勇平..瑞芬太尼微量泵输注在眼科局麻手术镇静镇痛中的应用[J].陕西医学杂志,2011,40(2):210-212,3.
