瑞芬太尼对声带息肉摘除术患者血管紧张素Ⅱ的影响

Application of remifentanil anesthesia in vocal nodule extirpation

摘要: 目的: 研究瑞芬太尼在声带息肉手术麻醉中的应用。方法: 选择ASAⅠ^Ⅱ级、择期行声带息肉手术患者160例,随机分为2组,R组采用瑞芬太尼诱导和维持麻醉,F组采用芬太尼诱导和异氟醚吸入维持麻醉,观察2组麻醉诱导及维持期血流动力学变化、血管紧张素Ⅱ和苏醒期苏醒质量及相关时间。结果: 瑞芬太尼麻醉术中循环波动较小,苏醒及清醒快,术后并发症少。结论: 瑞芬太尼可安全有效地用于声带息肉手术的麻醉。

Abstract: Objective: To study the application of remifentanil anesthesia in vocal nodule extirpation. Methods: One hundred and sixty patients（ASA1or2）with vocal nodule were selected and rundomly divided two groups.Group R were given anaesthetic induction and maintenance with remifentanil;while Group F were given anaesthetic with fentanil and maintenance with isoflurane instead. Results: Anaesthesia by remifentanil produces less post-operutive complications. Conclusion: Remifentanil can be used safely and effectively in vocal nodule extirpation.