摘要
目的探讨瑞芬太尼复合丙泊酚靶控输注在妇科腹腔镜手术麻醉中的应用效果。方法选择2011年9月～2012年4月在深圳市华侨医院行腹腔镜妇科手术的60例患者为研究对象,将其随机分为两组。一组采用瑞芬太尼复合丙泊酚靶控输注的方式进行麻醉,另一组采用芬太尼静脉复合麻醉方法。观察比较两组的药效起效时间、术中血流动力学变化、患者清醒时间、麻醉恢复时间及使用镇痛药时间。结果瑞芬太尼组手术过程中血流动力学变化波动不大(P>0.05),而静脉复合麻醉组血流动力学变化波动较大(P<0.05);瑞芬太尼组患者药效的起效时间、清醒时间及麻醉恢复的时间和术后使用镇痛药的时间明显短于静脉复合麻醉组,差异有统计学意义(P<0.05)。结论瑞芬太尼复合丙泊酚靶控输注麻醉不仅药效快、苏醒时间快,且手术过程中患者血流动力学变化波动较小,其效果明显优于常规的静脉复合麻醉。
Objective To investigate the effect of the application for remifentanil and propofol target-controlled infusion anesthesia in gynecologic laparoscopic surgery. Methods 60 patients with laparoscopic gynecological surgery from September 2011 to April 2012 were chosen as the research object. They were randomLy divided into two groups. One group was taken with propofol of remifentanil target control input Note the way anesthesia, and another group was taken with fentanyl intravenous anesthesia. The efficacy of the onset time of surgery, the hemodynamic changes, the patient awake time, anesthesia time and analgesic time for the two groups were compared and observed. Results The hemodynamic changes in volatility for the remifentanil group was not significant （P〉0.05）, while the hemodynamic changes in volatile for the intravenous anesthesia group was significant （P〈 0.05）. The efficacy onset time, wake time and anesthesia recovery time and postoperative analgesic time in the remifentanil group were shorter than the intravenous anesthesia group （P〈 0.05）.Conclusion The propofol of remifentanil target-controlled infusion anesthesia not only has fast efficacy and wake time, and has less volatile hemodynamic changes in patients during surgery. Its effectiveness is superior to conventional intravenous anesthesia.
出处
《当代医学》
2012年第36期7-8,共2页
Contemporary Medicine
关键词
瑞芬太尼
丙泊酚
靶控输注
腹腔镜手术
Remifentanil
Target-controlled infusion
Laparoseopic surgery
