摘要
目的观察异丙酚复合瑞芬太尼在腹腔镜手术麻醉中的应用效果。方法将我院收治的120例腹腔镜手术患者分为实验组与对照组,每组各60例。对照组给予七氟醚麻醉,实验组给予异丙酚复合瑞芬太尼麻醉,比较两组患者的麻醉效果。结果实验组MAP、HR、SpO2等血流动力学指标优于对照组,其苏醒时间与拔管时间短于对照组,实验组麻醉效果Ⅰ级占93.33%,高于对照组的70.00%,两组麻醉效果对比,差异具有统计学意义(P <0.05)。结论异丙酚复合瑞芬太尼在腹腔镜手术麻醉中可取得理想的麻醉效果,血流动力学平稳,苏醒时间及拔管时间较短,安全性高。
Objective To observe the effect of propofol combined with remifentanil in laparoscopic anesthesia. Methods 120 patients undergoing laparoscopic surgery in our hospital were divided into experimental group and control group, 60 cases in each group. The control group was given sevofurane anesthesia, the experimental group was given propofol combined with remifentanil anesthesia, and the two groups were compared. The anesthetic efect of the patient. Results The hemodynamic parameters such as MAP, HR and SpO2 in the experimental group were better than those in the control group. The time of awakening and extubation was shorter than that of the control group. The anesthetic effect was grade I accounting for 93.33%, which was significantly higher than the control group of 70.00%. The diference in anesthetic efect was statistically signifcant （P〈0.05）. Conclusion Propofol combined with remifentanil can achieve ideal anesthetic efect in laparoscopic anesthesia, with stable hemodynamics, shorter recovery time and shorter extubation time, and higher safety.
作者
陈娟华
CHEN Juanhua(Department of Anesthesiology,Wujiang District Fifth People＇s Hospital of Suzhou City,Suzhou Jiangsu 215211,China)
出处
《中国继续医学教育》
2018年第30期101-103,共3页
China Continuing Medical Education
关键词
异丙酚
瑞芬太尼
腹腔镜手术
麻醉
血流动力学
效果
propofol
remifentanil
laparoscopic surgery
anesthesia
hemodynamics
efectiveness
