TCI静脉麻醉与吸入麻醉在腹腔镜胆囊切除术中的效果观察被引量：1

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摘要目的:比较靶控输注(target-controllde infusion,TCI)全凭静脉麻醉和吸入麻醉两种不同方式在腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)应用中的临床效果。方法:将30例择期行LC手术的患者随机分为两组,均给予相同的麻醉诱导,术中维库溴铵0.04 mg/kg/h/维持肌松。TCI组(T组)(n=15):术中维持异丙酚靶浓度为2～4μg/mL,瑞芬太尼4～6 ng/mL。吸入麻醉组(I组)(n=15)吸入异氟醚(1～3%)和笑气:氧(2∶1)维持麻醉。术中监测心率(heart rate,HR)、收缩压(systolic blood pressure,SBP)、舒张压(dias-tolic blood pres-sure,DBP)等指标。结果:T组诱导时间显著短于I组(P<0.05),术中T组生命体征维持相对平稳,术后苏醒T组明显优于I组。结论:TCI全凭静脉麻醉方法用于LC术,术中血流动力学稳定,术后患者苏醒迅速,明显优于吸入麻醉方法。

作者王略伟

机构地区中航工业汉中

出处《航空航天医药》 2011年第1期50-51,共2页 Aerospace Medicine

关键词胆囊切除术腹腔镜靶控输注

分类号 R614.24 [医药卫生—麻醉学]

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