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目的浅析瑞芬太尼复合丙泊酚全麻静脉麻醉在骨科手术中的麻醉效果。方法选取我院接受骨科手术治疗的204例患者为研究对象，依据麻醉方式差异分为实验组和对照组，其中诱导阶段两组患者均接受瑞芬太尼复合丙泊酚麻醉方式；然后以此为基础，分别给予瑞芬太尼联合丙泊酚全静脉麻醉、芬太尼复合丙泊酚静脉全麻，以维持麻醉效果。结果实验组患者不同麻醉时间的心率及平均动脉压改变状况均明显优于对照组患者；实验组患者的苏醒时间、拔管时间及丙泊酚用量均明显低于对照组患者。结论瑞芬太尼复合丙泊酚静脉麻醉在骨科手术中的效果较为显著。“,”Objective Analysis of remifentanil and propofol intravenous anesthesia anesthesia anesthesia in orthopedic surgery.Methods Selected 204 patients in our hospital for surgical treatment of Department of orthopedics as the research object.According to the difference of anesthesia,the experimental group and the control group were divided into two groups.In the induction phase,two groups of patients received remifentanil combined with propofol anesthesia.Then,remifentanil combined with propofol total intravenous anesthesia,fentanyl combined with propofol intravenous anesthesia, in order to maintain the effect of anesthesia.Results The changes of heart rate and mean arterial pressure in the experimental group were significantly better than those in the control group.The recovery time,extubation time and the dosage of propofol in the experimental group were significantly lower than those in the control group.Conclusion The effect of remifentanil combined with propofol intravenous anesthesia in Department of orthopedics surgery is more significant.