摘要
目的分析短时腹腔镜手术时分别以瑞芬太尼或芬太尼复合丙泊酚用药,比较患者麻醉效果差异。方法以2016年9月—2017年11月入院行短时腹腔镜手术治疗的103例患者为本次观察对象,所有患者麻醉取气管插管全身麻醉,同时按数字法随机分组,观察组52例(瑞芬太尼+丙泊酚麻醉)、对照组51例(芬太尼+丙泊酚麻醉),观察术中不同时间段患者心率(HR)、平均动脉压(MAP)变化情况,组间比较患者苏醒质量。结果气腹后、拔管后组间MAP、E、HR、NE指标比较,观察组水平低于对照组,P <0.05;观察组较对照组苏醒评分高,睁眼、拔管时间、意识清醒、自主呼吸恢复用时短,P<0.05。结论短时腹腔镜手术选择瑞芬太尼、丙泊酚配合,麻醉效果好。
Objective To analyze the difference in anesthetic effect of remifentanil plus propofol or fentanyl plus propofol in the short-term anesthesia of laparoscopic surgery.Methods During the laparoscopic surgery,103 patients underwent the short-term general anesthesia with tracheal intubation from September 2016 to November 2017 in our hospital were selected.Patients were randomly assigned to two groups by number.The observation group(n=52)took Remifentanil plus propofol;the control group(n=51)took fentanyl plus propofol.At the different time periods,the heart rate(heart rate),mean arterial pressure(MAP),compared recovery conditions of two groups.Results After pneumoperitoneum and extubation,the indexes of MAP,E,HR and NE in the observation group were lower than control group(P<0.05);the recovery scores in the observation group were increased while the time of opening eyes,extubation,consciousness recovery and autonomous respiration recovery was shortened,with significant differences among groups(P<0.05).Conclusion During the laparoscopic surgery,remifentanil plus propofol can increase the short-term anesthesia effect.
作者
赵永军
ZHAO Yongjun(Department of Anesthesiology,Yuyang District Traditional Chinese Medicine Hospital of Yulin City,Yulin Shanxi 719000,China)
出处
《中国卫生标准管理》
2018年第22期121-123,共3页
China Health Standard Management
关键词
麻醉效果
短时
丙泊酚
瑞芬太尼
芬太尼
腹腔镜手术
anesthetic effect
short time
propofol
remifentanil
fentanyl
laparoscopic surgery
