ABSTRACT
Objective To study the application of remifentanil combined with sevoflurane or propofol in the anesthesia of patients with intracranial tumors.Methods From January 2015 to December 2015,60 patients with intracranial tumor surgery in our hospital were selected as the research object in this study.They were randomly divided into A group and B group,each group had a total of 30 cases.Patients in group A were treated with remifentanil combined with sevoflurane anesthesia,and B group was treated with remifentanil and propofol anesthesia.Comparative analysis of A group and B group of patients with clinical indicators.Results During the operation,two groups of patients with end tidal carbon dioxide partial pressure and pulse oxygen saturation score.Two groups of patients in the immediate intubation heart rate and blood pressure were significantly lower than before anesthesia,A group reduced the degree of greater,with statistical difference(P<0.05).In group A,30 min and 1H were significantly higher than those in group B after anesthesia,and the difference was statistically significant(P<0.05).The anesthesia time of A group was(187.3±22.7)min,and the extubation time was(22.1±8.2)min.The anesthesia time of B group was(181.4±19.1)min,and the extubation time was(10.2±5.3)min.As a result,B group of patients with anesthesia time and extubation time were significantly less than the A group,and with statistical difference(P<0.05).Conclusion Remifentanil Combined with propofol and sevoflurane anesthesia in patients with intracranial tumors compared to two kinds of methods can effectively stabilize the patient's life signs,but remifentanil and propofol recovery time is fast,contribute to the balance of cerebral oxygen supply and consumption in a certain extent,with the further promotion and application of clinical significance.
ABSTRACT
Objective To study the clinical effect of remifentanil intravenous patient-controlled analgesia pump combined with psychological intervention in labor analgesia.Methods 100 cases of maternal in our hospital from April 2015 to July 2016 were selected as the research object in this study.They were randomly divided into the control group and the experimental group, each group had a total of 50 cases.Patients in the control group were treated with intravenous patient-controlled analgesia pump, while the experimental group received psychological intervention on the basis of remifentanil treatment.The anxiety, pain and cesarean section were compared between the experimental group and the control group.Results After the corresponding treatment, the experimental group of 50 patients, the number of cases of cesarean section in 6 cases, the rate of cesarean section was 12%, in the control group of patients with a total of 50 cases, the number of cases of cesarean section in patients with cesarean section rate of 28%.But the control group was significantly higher than that of the experimental group, the difference was statistically significant(P<0.05).The visual analogue score of the experimental group was significantly lower than that of the control group, with statistical difference(P<0.05).The incidence of adverse reactions in the experimental group was 18%, and the incidence of adverse reactions in the control group was 14%.The number of patients with moderate anxiety in the control group was significantly higher than that in the experimental group, with statistical difference(P<0.05).Conclusion Remifentanil intravenous analgesia pump combined with psychological intervention for clinical effect of labor analgesia is better, can effectively eliminate the anxiety of patients, relieve pain, and high safety, is further applied in clinical significance.