摘要
目的探讨七氟醚或丙泊酚复合瑞芬太尼麻醉应用于腹腔镜胆囊切除术的临床效果。方法选取我院2011年1月-2015年12月收治的胆囊结石患者200例,根据麻醉方式不同均等分为观察组、对照组。其中,对照组采用常规的麻醉方法,观察组采用七氟醚或丙泊酚复合瑞芬太尼麻醉方法。然后对两组麻醉疗效进行比较。结果观察组个时间点平均动脉压、心率、脉搏氧饱和度与T0比较差异无统计学意义（P〉0.05）;对照组患者T1、T2、T3、T4、T5的平均动脉压与T0比较差异有统计学意义（P〈0.05）;对照组患者诱导后T1、T3、T4、T5的心率与T0比较差异有统计学意义（P〈0.05）;观察组自主呼吸恢复时间、睁眼时间、言语应答时间、定向力恢复时间等麻醉效果明显优于对照组（P〈0.05）。结论对于腹腔镜胆囊切除术的患者来说使用七氟醚或丙泊酚复合瑞芬太尼麻醉方法较好,安全性相对其他麻醉方法好,对患者术中能够较有效的控制,对患者手术后认知等功能影响比较小。
Objective To explore the effect of sevoflurane or propofol remifentanil anesthesia in laparoscopic cholecystectomy. Methods 200 cases of patients with gallbladder stone cured in our hospital from January 2011 to December 2015 were selected and divided into observation group and control group with 100 cases in each according to the different anesthesia methods. Patients in the control group were treated with routine anesthesia method, and patients in observation group were treated with sevoflurane or propofol remifentanil anesthesia method. Anesthetic effects of the two groups were compared. Results There were no statistical significances in the comparison of mean arterial pressure, heart rate, pulse oxygen saturation and T0 at each time points of observation groups（P〈0.05）.There were statistical significances in the comparison of mean arterial pressure and T0 at the time points T1, T2, T3, T4, T5 of control group（P〈0.05）. There were statistical significances in the comparison of heart rate and T0 at the time points T1, T2, T3, T4, T5 after induction of control group（P〈0.05）. The recovery time of spontaneous breathing, eye opening time, verbal response time, orientation recovery time, and other anesthetic effects of observation group were significantly better than those of control group（P〈0.05）. Conclusion For the patients with laparoscopic cholecystectomy, the effect of sevoflurane or propofol remifentanil anesthesia is good. Compared with other methods of anesthesia, it is safer. It is more effective in the control of patients during the operation. The effect of cognitive function on patients after surgery is relatively small.
出处
《中国医药科学》
2016年第13期145-148,共4页
China Medicine And Pharmacy
关键词
七氟醚
丙泊酚
瑞芬太尼
麻醉
腹腔镜胆囊切除术
Sevoflurane
Propofol
Remifentanil
Anesthesia
Laparoscopic cholecystectomy
