Abstract:
Objective To investigate the hemia-hiata of sufentanil and remifentanil on awakening quality and hemodynamics.
Methods 64 cases of ASA Ⅰ~Ⅱ undergoing elective hemia-hiata were randomly divided into observation group(Shug Finn Tanif Greventa Ni group, n=56)and control group(sufentanil group, n=56 anesthesia). Was induced by sufentanil 0.3 g/kg after intubation immediately, the observation group of micro pump continuous constant speed pump 0.15 g/ remifentanil hydrochloride(kg-min), the control group before skin incision 1.0~1.2 ug/kg.sufentanil anesthesia used Steward awakening score evaluation method, during anesthesia, routine monitoring of SBP, DBP and HR, stop the use of anesthetics to the patient awake extubation for anesthesia.
Results In the observation group, the recovery time and extubation time were significantly shorter than the control group, the two groups have statistical significance(P<0.05); Observation after extubation immediately steward awakening score was significantly higher than that in control group.Between the two groups compared with statistical significance(P<0.05); two groups and hemodynamic parameters changes.Two groups of patients and SBP, DBP and HR in the comparison, the difference was not statistically significant(P>0.05).
Conclusion Sufentanil and remifentanil anesthesia method in the hemia-hiata operation can provide satisfactory anesthesia effect; and sufentanil and remifentanil can be significantly accelerated recovery time and pull tube time, improve the quality of recovery for laparoscopic hemia-hiata surgery can improve the efficiency and safety of anesthesia.
Key words:
Hernia, hiatal,
Laparoscopy,
Sufentanil,
Remifentanil
Jie Tan, Xuebin Li, Cheng Zhang. Analysis of anesthetic effect of Sufentanil and Remifentanil for hernia-hiata in operation[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2015, 02(04): 227-229.