摘要
目的:探讨不同麻醉方式下胆囊切除术后呕吐与动脉血气变化的对比情况。方法:采用腹腔镜胆囊切除术患者90例按就诊顺序编号分为两组-治疗组与对照组各45例,对照组麻醉维持用恩氟烷与瑞芬太尼麻醉,治疗组用丙泊酚靶控输注加瑞芬太尼维持麻醉。结果:治疗组与对照组相比,患者术后清醒时间与拔管时间比较小(P<0.05)。两组在解除气腹后5mi n动脉血气各指标对比都无明显差异(P>0.05)。治疗组呕吐发生率明显低于对照组(P<0.05),同时严重程度也低于对照组(P<0.05)。结论:丙泊酚输注加瑞芬太尼可较好控制对呕吐与动脉血气的影响,同时缩短清醒时间与拔管时间,可达到平衡麻醉的要求。
Objective To investigate the comparative effects of the vomiting and arterial blood gas changes by the cholecystectomy surgery with different anesthetic techniques. Methods 90 cases with laparoscopic cholecystectomy were equally divided into two groups accorded to treatment sequence number - the treatment group and control group, the control group used the enflurane and remifentanil anesthesia were maintained, and the treatment group used the propofol and remifentanil anesthesia were maintained. Results The awake and extubation time of the treatment group were shorter than the control group （P〈0.05）. The arterial blood gas index between the two groups had no significant difference （P〉0.05）. The incidence of vomiting of the treatment group was significantly lower than the control group （P〈0.05）, and the severity was lower than the control group （P〈0.05）. Conclusion TIVA with propofol and remifentanil anesthesia in the application of laparoscopic cholecystectomy can better control the vomiting and arterial blood gas, and shorten the awake time and time that can be achieved by the requirements of balanced anesthesia.
出处
《中国美容医学》
CAS
2012年第09X期81-82,共2页
Chinese Journal of Aesthetic Medicine
关键词
胆囊切除术
麻醉
呕吐
动脉血气
cholecystectomy surgery
anesthesia
vomiting
arterial blood gas
