摘要
目的评价腹腔镜胆囊切除术进行过程中全凭静脉麻醉以及吸入麻醉的效果,探讨临床应用价值。方法随机选取该院于2014年2月—2015年2月期间所收治的进行腹腔胆囊切除术患者共60例,予以抽签法的分组原则将其平均分为实验组和对照组,每组30例。对照组患者予以全凭吸入麻醉,实验组予以全凭静脉麻醉,对比两组患者麻醉后的临床指标。结果对照组患者中T0时期的MAP为(95.0±8.0)mmHg,HR指标为(76.2±14.0)次/min,实验组的上述指标为(99.5±10.1)mmHg以及(77.2±12.2)次/min,组间对比差异无统计学意义(P>0.05);清醒质量对比,实验组患者的睁眼时间、拔管时间、术后恶心呕吐的发生率以及术后8 h的BAS指标分别为(6.4±1.4)min、(11.4±1.3)min、1例以及(2.5±1.0)指标均优于对照组(10.4±2.7)min、(25.1±9.4)min、7例以及(5.5±2.0),组间对比差异有统计学意义(t=7.120 3,3.067 1,χ~2=5.192 3,t=2.894 1,P=0.022 6)。结论对行腹腔镜胆囊切除术患者治疗的过程中,采用全凭静脉麻醉后,对患者的呼吸干扰度更低。
Objective To evaluate the application effect of total intravenous anesthesia and inhaled anesthesia in the laparoscopic cholecystectomy and study the clinical application value. Methods 60 cases of patients with laparoscopic cholecystectomy admitted and treated in our hospital from February 2014 to February 2015 were random selection selected and divided into two groups with 30 cases in each, the control group and the experimental group used the inhaled anesthesia and intravenous anesthesia, and the clinical indicators after anesthesia were compared between the two groups. Results The MAP and HR at T0 in the control group and in the experimental group were respectively（95.0±8.0） mmHg,（76.2±14.0）times/min and（99.5±10.1） mmHg,（77.2 ±12.2）times/min, and the differences between groups were obvious（P 0.05）, and the eye open time, tube drawing time, incidence rate of postoperative nausea and vomiting and BAS index in 8 h after surgery were better than those in the control group [（6.4 ±1.4）min,（11.4 ±1.3）min, 1 case,（2.5 ±1.0） vs（ 10.4 ±2.7）min,（25.1 ±9.4）min, 7 cases,（5.5±2.0）], and the differences were obvious, with statistical significance（t=7.120 3, 3.067 1, χ~2=5.192 3,t=2.894 1,P=0.022 6）. Conclusion The respiration interference degree of total intravenous anesthesia in patients with laparoscopic cholecystectomy is lower.
作者
郝聚达
HAO Ju-da(Department of Anesthesia, Zaozhuang Mining Group Zaozhuang Hospital, Zaozhuang, Shandong Province, 277100 China)
出处
《中外医疗》
2018年第12期90-91,97,共3页
China & Foreign Medical Treatment
关键词
腹腔镜胆囊切除术
全凭静脉麻醉
吸入麻醉
清醒质量
效果分析
Laparoseopie eholeeysteetomy
Total intravenous anesthesia
Inhaled anesthesia
Awakening quality
Analysis of effect
