《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (8): 770-772.

• 论文 • 上一篇    下一篇

丙泊酚联合舒芬太尼在肩周炎手法松解术中的应用

孟秀荣   

  1. 北京市昌平区中医医院麻醉科，北京市 102200。
  • 收稿日期:2011-05-11 修回日期:1900-01-01 出版日期:2011-08-25 发布日期:2011-08-25

The Application of Propofol Combined with Sufentanil in Manipulation Release on Scapulohumeral Periarthritis

MENG Xiu-rong.   

  1. The Department of Anesthesiology, Changping Traditional Chinese Medicine Hospital, Beijing 102200, China
  • Received:2011-05-11 Revised:1900-01-01 Published:2011-08-25 Online:2011-08-25

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摘要： 目的观察丙泊酚与舒芬太尼联合应用在肩周炎手法松解术中的效果。方法将62 例拟在静脉麻醉下行手法松解术的肩周炎患者随机分为两组，每组31 例。丙泊酚组(P 组)术前静脉注射丙泊酚2 mg/kg，患者意识消失后开始手术，术中可静脉追加丙泊酚，每次0.5 mg/kg。丙泊酚联合舒芬太尼组(PS 组)术前先采用静脉泵输入舒芬太尼0.1 μg/kg 作为负荷量，然后以0.1 μg/kg/h 的速度持续输注舒芬太尼，其他操作同P 组。记录血压、心率、脉搏血氧饱和度、丙泊酚注射痛、术中麻醉效果分级、术后镇痛效果分级、麻醉苏醒时间、术后恶心呕吐情况。结果PS 组在术中麻醉效果及术后镇痛效果方面明显优于P 组(P<0.01)，且PS 组未出现丙泊酚注射痛。两组在血压、心率、脉搏血氧饱和度、苏醒时间以及术后恶心、呕吐方面无显著性差异(P<0.05)。结论丙泊酚与舒芬太尼联合应用能够有效提高术中麻醉效果及术后镇痛效果。

关键词: 丙泊酚, 舒芬太尼, 肩周炎, 手法松解术

Abstract: Objective To observe the effect of propofol combined with sufentanil in manipulation release on scapulohumeral periarthritis.Methods 62 patients with scapulohumeral periarthritis undergoing manipulation release were randomly assigned to propofol group(Group P) and propofol combined with sufentanil group (Group PS) with 31 cases in each group. Group P received 2 mg/kg dose of intravenouspropofol pre-operatively and Group PS received 2 mg/kg dose of intravenous propofol combined with sufentanil of which the loadingdose was 0.1 μg/kg and the basal rate was 0.1μg/kg/h pre-operatively. Repeated propofol could be used in both groups at the dose of 0.5 mg/kg. Blood pressure (BP), heart rate (HR), pulse oxygen saturation (SpO2), pain on injection of propofol, level of anesthesia effect in operation,level of analgesia after operation, recovery time, and incidence of post-operative nausea and vomiting (PONV) were recorded. ResultsThe level of anesthesia effect in operation and the level of analgesia after operation were significantly higher in group PS (P<0.01). No painon injection of propofol was found in group PS. There was no significant difference in BP, HR, SpO2, recovery time, and incidence of PONVbetween two groups (P<0.05). Conclusion Propofol combined with sufentanil can effectively improve the anesthesia effect in operation andthe analgesia after operation.

Key words: propofol, sufentanil, scapulohumeral periarthritis, manipulation release