about remifentanil - sevoflurane anesthesia in 45 cases of laparoscopic cholecystectomy in patients observed in the application（七氟醚麻醉remifentanil - 45例腹腔镜胆囊切除术患者中观察到的应用程序）.docVIP

About remifentanil - sevoflurane anesthesia in 45 cases of laparoscopic cholecystectomy in patients observed in the application [Abstract] Objective: To investigate the remifentanil infusion and sevoflurane inhalation anesthesia in laparoscopic cholecystectomy anesthesia safety and effectiveness. Methods: In recent years in our hospital for cholecystectomy in 45 patients included in the study, patients were observed before induction of anesthesia (T0), after intubation, 3 min (T1), skin incision (T2), pneumoperitoneum after 30 min (T3 ) and surgery (T4) in blood pressure, heart rate changes and the occurrence of adverse results: (1T1 drop in blood pressure, compared with T0, t = 1.89, the difference was significant, T2 of blood pressure, compared with T0 ratio, t = 2.13, the difference was significant, T3 rise in blood pressure, and T0 class, t = 1.21, the difference was not significant, T4 in blood pressure, and T0 class, t = 1.33, the difference was not statistically significant. ( 2, compared with T0, T1, T2, T3, T4 heart rate at all time points no significant differences, Pgt; 0.05. (3) of postoperative nausea and vomiting in 3 cases, accounting for 6.67% in patients without intraoperative awareness. ( 4 independent 5-10min after breathing in the recovery of orientation in the postoperative recovery within 20min Conclusion: Remifentanil - sevoflurane inhalation anesthesia for laparoscopic cholecystectomy in patients with good efficacy and safety, low incidence of adverse reactions, in this type of surgery has certain advantages. [Keywords] remifentanil anesthesia with sevoflurane Laparoscopic cholecystectomy compared with open surgery, with less trauma, shorter operative time, healing etc. fast induction of anesthesia, wake up fast, with few complications requirements. Remifentanil as opioid receptor agonist, in the human body can quickly reach the blood - brain balance, and can be rapidly hydrolyzed, rapid onset, short duration, and sevoflurane on he