摘要
目的 :评价腹腔镜胆囊切除术麻醉用药的选择及方法。方法 :将腹腔镜胆囊切除术 6 0例随机分为 2组 ,每组 30例。A组 :以异丙酚、芬太尼诱导 ,静脉滴注琥珀胆碱气管插管 ,以安氟醚吸入维持麻醉 ;B组 :以依托咪酯、芬太尼诱导 ,静脉推注琥珀胆碱气管插管 ,以芬太尼静滴维持麻醉。术毕观察两组肌松恢复时间及气管拔管时间。结果 :A组肌松恢复时间及气管拔管时间明显快于B组 (P <0 .0 5 )。结论 :静脉滴注琥珀胆碱气管插管 ,肌松好 ,用量少 ;
Objective:To evaluate the choice of anesthesia drugs and method in laparoscopic cholecystectomy (LC).Methods:60 Patients with LC were divided into two group randomly. Group A were induced by propofol and fentanyl, succinylcholine intravenous dripped while intubation, and maintained anesthesia by enlurance. Group B were induced by etomidate and fentanyl, succinylcholine intravenous blous while intubation, and maintained anesthesia by fentanyl intravenous dripped. Muscular relaxation recovery time and extubation time were recorded.Results:The muscular relaxation recovery time and extubation time in graup A were significaltly shorter than those in group B (P<0.05).Conclusions:Succinylcholine intravenous dripped to intubation and maintained by inhalational anesthetics is effect in decreasing the dose of drugs and is excellant in muscular relaxation. Enflurance is better than dripped in maintained anesthesia.
出处
《腹腔镜外科杂志》
2002年第2期94-95,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
芬太尼
琥珀胆碱
静脉麻醉
Cholecystectomy, laparoscopy
Anesthesia
Fentanyl
Succinylcholine intravenous
