摘要
目的探讨瑞芬太尼复合丙泊酚在腹腔镜胆囊切除术(LC)中的麻醉效果。方法抽取94例LC患者,随机分为对照组和研究组,各47例。对照组应用芬太尼联合丙泊酚方案进行麻醉,研究组应用瑞芬太尼复合丙泊酚方案进行麻醉。比较两组患者拔管后的意识状态,术后恢复指标,不良反应发生率及不同时间点血流动力学指标。结果研究组拔管后5、10 min及1 h的意识状态评分均高于对照组(P<0.05);研究组术后自主呼吸时间、睁眼时间、拔管时间均短于对照组(P<0.05);两组不良反应总发生率无统计学差异(P>0.05);研究组不同时间点的血流动力学指标均优于对照组(P<0.05)。结论瑞芬太尼复合丙泊酚在LC中的麻醉效果良好,值得推广。
Objective To investigate the anesthetic effect of remifentanil and propofol in laparoscopic cholecystectomy（LC）. Methods A total of 94 patients undergoing LC were seleted and randomly divided into control group and study group,with 47 cases in each group. The control group applied propofol combined with fentanyl for anesthesia. The study group received remifentanil combined with propofol for anesthesia. The conscious state after extubation, postoperative recovery index, the incidence of adverse reactions, hemodynamic indexes at different time points were compared between the two groups. Results The conscious state score of 5, 10 min and 1 h after extubation in the study group were higher than those in the control group（P〈0.05）. In the study group, the time of spontaneous respiration, open eye and pulling tube were shorter than those in the control group（P〈0.05）. There was no statistically significant difference in the total incidence of adverse reactions in the two groups（P〈0.05）. The hemodynamic index at different time points in the study group were better than those in the control group（P〈0.05）. Conclusion The anesthetic effect of remifentanil and propofol in LC is good, which is worthy of promotion.
作者
刘爱玲
景小宁
LIU Ai-ling;JING Xiao-ning(Anesthesiology Department,the People＇s Hospital of Yanchuan County,Yan＇an 717200,China)
出处
《临床医学研究与实践》
2018年第17期73-74,共2页
Clinical Research and Practice
