舒芬太尼和瑞芬太尼在喉罩全身麻醉无痛纤维支气管镜检查中的应用

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Abstract ObjectiveTo explore Sufentanil and Remifentanil in painless flexible bronchoscopy with laryngeal mask airway.Methods80 ASA I-Ⅲpatients aged 18-70 from March to May 2016 in our tospieal who were scheduled to undergo painless flexible bronchoscopy were randomly divided into Sufentanil group(group S)and Remifentanil group(group R).The adverse events during and after the procedure,the awake time and the satisfaction of the doctor and patients were compared between two groups.ResultsDuring the procedure,there were no significant difference in the cough,body motion,laryngospasm,dislocation of the LMA,hypertension,tachycardia between the two groups(P＞0.05),the incidence rates of hypotension and bradycardia in group R were higher than thoes of group S(P＜0.05),the awake time in group R was shorter than that of group S(P＜0.05),and during the recovery room,the incidence rates of hypertension and tachycardia in group R were higher than that of group S,the SAS score of group R was higher than that of group S (P＜0.05),MAP of group R was lower than that of group at T1,T2,T3,HR of T1,T3was lower than that of group S (P＜0.05).ConclusionSufentanil and Remifentanil can be used in painless flexible bronchoscopy with laryngeal mask airway,comparing to group R,Sufentanil group has more stable haemodynamics and less adverse events during and after procedure,but the awake time is longer.

Key words： Flexible bronchoscopy Sufentanil Remifentanil Laryngeal mask airway Anesthesia

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	Articles by authors
	HUANG Hui
	WANG Hai-yan
	LIN Hui-wen
	LIU Di
	YE Dan-li
	YAN Yuan

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HUANG Hui,WANG Hai-yan,LIN Hui-wen, et al. The application comparison of Sufentanil and Remifentanil in painless flexible bronchoscopy with laryngeal mask airway[J]. 中国当代医药, 2016, 23(36): 102-104转120.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I36/102

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