Keywords
Remifentanil
Sufentanil
Hemodynamics
Submitted : 2021-07-05
Accepted : 2021-07-20
Published : 2021-08-04
Abstract
Objective: To explore and analyze the anesthetic effect of sufentanil combined with remifentanil in patients undergoing radical gastrectomy for gastric cancer. Methods: In this study, 100 patients receiving radical gastrectomy for gastric cancer in our hospital were selected as the research subjects, and the period from June 2019 to February 2021 was divided into different anesthesia regimens. Fifty patients receiving remifentanil anesthesia were used as the control group, and 50 patients receiving remifentanil combined with sufentanil anesthesia were used as the research group. The anesthetic effect of the two groups of patients was analyzed and compared. Results: The HR and MAP of the study group at different time after intubation were lower than those of the control group (P<0.05). The changes of HR and MAP before and after intubation in two groups were significant compared with those before intubation (P<0.05). The postoperative VAS score of the study group was significantly better than that of the control group (P<0.05). Conclusions: In radical gastrectomy for gastric cancer, the choice of sufentanil and remifentanil as the anesthesia scheme can effectively stabilize the hemodynamics of patients, relieve the degree of postoperative pain, with obvious clinical value.
References
Yang Y, Li S, Xu F, 2019, Anesthetic Effect of Sufentanil Combined with Remifentanil in Radical Gastrectomy of Gastric Cancer and Improvement of Stress Response. Progress in Modern General Surgery in China, 23(4):316-318.
Cong H, 2017, Effects of Sufentanil Combined with Remifentanil on Anesthetic Effect and Stress Response in Patients Undergoing Radical Gastrectomy. Chinese Journal of General Practice, 15(7):1172-1174.
Feng Y, Li J, Wang H, et al., 2019, Anesthetic Effect of Propofol Combined with Remifentanil or Sevoflurane Anesthesia on Patients Undergoing Radical Gastrectomy. Oncology letters, 17(6).
Chen Yufen, Wang Xinhui. Effect of Remifentanil Combined with Propofol on Endoscopic Radical Gastrectomy [J]. China General Practice,2018,21(S2):105-106.
Zheng L, Zhao J, Zheng L, et al., 2020, Effect of Dexmedetomidine on Perioperative Stress Response and Immune Function in Patients with Tumors. Technology in Cancer Research & Treatment, 19(1):153.
Chen J, Li C, 2019, Effect of Remifentanil Combined with Epidural Anesthesia on Hemodynamics in Radical Gastrectomy. Chinese Archives of General Surgery (Electronic Edition), 15(2): 120-124.
Cheng ZY, 2019, Effect of Sufentanil Combined with Remifentanil on Stress Response in Patients Undergoing Radical Gastrectomy. Medical Equipment, 32(3): 83-84.
Huang S, Wei SS, Anesthesiology DO, 2019, The Effect of Levobupivacaine Combined with Sufentanil in Superficial Cervical Plexus Block on the Dosage of General Anesthesia and Recovery Period in Thyroid Surgery. World Latest Medicine Information.
Cai S, Shen L, Sun H, 2019, Effects of Remifentanil and Sufentanil on Hemodynamics and Stress Levels in Patients Undergoing Radical Gastrectomy. Chinese Journal of Clinical Oncology, 26(08):920-924.
Zhang Y, Zuo Y, Yang Y, 2019, Effects of Remifentanil Combined with Sufentanil General Anesthesia on Stress Response, Immune Function and Hemodynamics in Elderly Patients Undergoing Abdominal Trauma Surgery. Journal of Chengdu Medical College, (4).