摘要
目的:探讨阑尾炎微创手术中应用全凭静脉麻醉和静吸复合麻醉对改善苏醒期的效果。方法:选取广州中医药大学顺德医院外科2018年1月-2020年12月收治的80例急性阑尾炎患者为临床研究对象,所有患者均接受手术治疗,将其按照电脑抽签的方式随机分为两组,包括观察组与对照组,各40例。观察组予以静吸复合麻醉方式,对照组给予全凭静脉麻醉方式。对比两组术后谵妄发生率、苏醒时间、拔管时间、血压、心率、Narcotrend麻醉深度。结果:两组在术后24、72、120 h谵妄发生率对比,差异均无统计学意义(P>0.05);术后7 d时,观察组谵妄发生率显著低于对照组,差异有统计学意义(P<0.05)。麻醉诱导后1、5 min,观察组的HR显著低于对照组,SBP、DBP水平均显著高于对照组,差异有统计学意义(P<0.05)。观察组在麻醉诱导后与术中15 min的Narcotrend麻醉深度数值水平均低于对照组,差异有统计学意义(P<0.05)。结论:与全凭静脉麻醉比较,静吸复合麻醉能够有效改善其苏醒期身体功能,安全性高,值得推广。
Objective:To explore the effect of total intravenous anesthesia and intravenous inhalation combined anesthesia in the minimally invasive surgery of appendicitis on improving the recovery period.Method:The 80 patients with acute appendicitis admitted to Surgery Department of Shunde Hospital,Guangzhou University of Chinese Medicine from January 2018 to December 2020 were selected as clinical research subjects.All patients received surgical treatment.They were randomly divided into two groups according to the method of computer drawing,including observation group and the control group,each accounted for 40 cases,the observation group was given intravenous inhalation combined anesthesia,and the control group was given total intravenous anesthesia.The incidence of postoperative delirium,awakening time,extubation time,blood pressure,heart rate,Narcotrend anesthesia depth of the two groups were compared.Result:There were no significant differences in the incidence of delirium between the two groups at 24,72,120 h after operation(P>0.05).The incidence of delirium in the observation group was significantly lower than that in the control group at 7 d postoperatively,the difference was statistically significant(P<0.05);1,5 min after anesthesia induction,HR in observation group was significantly lower than control group,SBP and DBP levels were significantly higher than control group,the differences were statistically significant(P<0.05).The Narcotrend depth of anesthesia in the observation group were lower than those in the control group after anesthesia induction and 15 min in the operation,and the differences were statistically significant(P<0.05).Conclusion:Compared with total intravenous anesthesia,intravenous inhalation combined anesthesia can effectively improve the physical function of the awakening period,with high safety and worthy of promotion.
作者
欧楚君
周路路
OU Chujun;ZHOU Lulu(Shunde Hospital,Guangzhou University of Chinese Medicine,Foshan 510006,China;不详)
出处
《中外医学研究》
2022年第18期53-56,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
全凭静脉麻醉
静吸复合麻醉
微创手术
安全性
苏醒期
Total intravenous anesthesia
Intravenous inhalation combined anesthesia
Minimally invasive surgery
Safety
Awakening period
