瑞芬太尼异丙酚靶控静脉麻醉与静吸复合全麻用于腹腔镜胆囊切除术的比较被引量：7

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摘要目的:评价瑞芬太尼和异丙酚靶控全静脉麻醉的诱导、维持和术后苏醒过程。方法:ASAⅠ-Ⅱ级择期腹腔镜胆囊切除术病人60例,随机分为TCI组和对照组,每组30例。记录两组各时段平均动脉压、心率及术毕病人苏醒过程中各时段所需时间,观察病人拔管后各时段的意识状况;术后并发症及满意度。结果:(1)TCI组各时段血流力学比对照组平稳;(2)在苏醒过程中,自主呼吸、睁眼、拨管、定向力恢复及离开恢复室时间TCI组均短于对照组;(3)术后各时段OAAS评分TCI组高于对照组。结论:瑞芬太尼复合异丙酚靶控全静脉麻醉能满足腹腔镜胆囊切除术,和常规的静吸复合全麻比较,血流动力学更平稳、苏醒更快。

作者王必铭王益兵许新友

机构地区临海市第一人民医院

出处《现代医药卫生》 2005年第20期2749-2750,共2页 Journal of Modern Medicine & Health

关键词瑞芬太尼异丙酚靶控输注全静脉麻醉

分类号 R614 [医药卫生—麻醉学]

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