摘要
目的腹腔镜胆囊切除手术使用七氟烷和瑞芬太尼复合麻醉治疗的效果。方法根据2012~2014年我院接收的80例腹腔镜胆囊切除手术患者来进行研究分析,将这些患者分成七氟烷组和丙泊酚组,均有40例。七氟烷组患者接受七氟烷和瑞芬太尼复合麻醉,丙泊酚组使用丙泊酚和瑞芬太尼联合麻醉,比较分析两组的麻醉情况。结果七氟烷组的40例患者共有20例优、19例良,1例差,优良率是97.5%;丙泊酚组的40例患者有12例优、14例良、14例差,优良率是65.0%。七氟烷组比丙泊酚组的优良率要高,结果存在统计学差异性（χ^2=13.87,P〈0.05）。七氟烷组患者用药量要比丙泊酚组少,苏醒时间、苏醒评分两组无明显统计学差异性。结论腹腔镜胆囊切除手术使用七氟烷和瑞芬太尼联合麻醉效果突出。
Objective To the effect of combined anesthesia with seven sevoflurane and remifentanil in the treatment of laparoscopic cholecystectomy. Methods 80 cases of laparoscopic cholecystectomy patients received from 2012 to 2014 were analyzed, and the patients were divided into seven groups with sevoflurane and propofol, and 40 cases were all. Seven patients with sevoflurane received seven sevoflurane and remifentanil combined anesthesia, propofol group with propofol and remifentanil combined anesthesia, compared with analysis of anesthesia in the two groups. Results There were 40 cases of seven patients with 20 patients, 19 cases of good, 1 cases of poor, the good rate is 97.5%, 40 cases of propofol group, 12 cases of excellent, 14 cases good, 14 cases of poor, the good rate is 65%. Seven halothane group is higher than the excellent rate of propofol group, there was a significant difference between the results of（χ^2=13.87, P〈0.05）. Seven the patients in the sevoflurane group were less dosage than propofol, the recovery time and the score of the score were not significantly different between the two groups. Conclusion The effect of combined anesthesia with seven sevoflurane and remifentanil in laparoscopic cholecystectomy is outstanding, and can be used in clinic.
出处
《中国继续医学教育》
2015年第18期81-82,共2页
China Continuing Medical Education
关键词
胆囊切除
腹腔镜
七氟烷
瑞芬太尼
麻醉效果
Cholecystectomy
Laparoscopic
Seven sevoflurane
Remifentanil Anesthesia effect
