分析瑞芬太尼与芬太尼在腹腔镜手术麻醉中的应用效果.docVIP

精品论文 参考文献 分析瑞芬太尼与芬太尼在腹腔镜手术麻醉中的应用效果 南华大学附属南华医院麻醉科 湖南衡阳 421001 【摘 要】目的 分析瑞芬太尼在腹腔镜手术麻醉处理中的应用效果。方法 回顾性分析我院在2013年12月至2015年6月间收治的76例行腹腔镜手术患者资料，根据手术麻醉用药的不同，将患者分为两组，每组各38例病例，对照组利用芬太尼对患者进行麻醉维持，观察组利用瑞芬太尼进行麻醉维持，对比两组患者气管插管后5分钟及气管导管拔出后分钟的的血流动力学变化、麻醉苏醒时间、呼吸恢复时间、拔管时间、不良反应等情况。结果 观察组患者气管插管后5分钟及拔管后5分钟，其血流动力学变化不明显，且小于对照组，对比差异显著，具有统计学意义（Plt;0.05）。观察组患者的自主呼吸恢复时间、苏醒时间、拔管时间及离开手术室时间均早于对照组，具有统计学意义（Plt;0.05）。观察组中有2例患者发生不良反应，主要表现为恶心，发生率为5.3％。对照组中有9例患者发生不良反应，其中恶心呕吐8例、皮疹1例，发生率为23.7％。两组患者在不良反应发生率上差异显著，具有统计学意义（Plt;0.05）。结论 瑞芬太尼具备较好的麻醉效果，使腹腔镜手术的安全性得到较大提升。 【关键词】瑞芬太尼；腹腔镜手术；麻醉处理 [Abstract]Objective：to analyze the effect of remifentanil on anesthesia in laparoscopic operation.Methods a retrospective analysis of our hospital in June December 2013 to 2015 were in 76 cases of laparoscopic surgery patient data，according to different surgical anesthesia，patients were divided into two groups，each group with 38 cases in each case，the control group use of fentanyl on patients undergoing anesthesia maintenance，observation group using remifentanil anesthesia，compared two groups of patients with tracheal intubation after 5 minutes and tracheal extubation after minutes of hemodynamic changes，anesthesia recovery time，breathing recovery time，drawing tube time，adverse reactions and so on.Results in the observation group，5 minutes after tracheal intubation and 5 minutes after extubation，the hemodynamic changes were not obvious，and less than the control group，the difference was significant，with statistical significance（Plt;0.05）.Observation group of patients with spontaneous breathing recovery time，recovery time，extubation time and leave the operation room time were earlier than the control group，with statistical significance（Plt;0.05）.Adverse reactions occurred in 2 patients in the observation group，mainly for nausea，the incidence rate was 5.3%.In the control group，there were 9 cases of adverse reactions，including 8 cases of nausea and vomiting，1 cases of skin rash，the incidence rate was 23.7%.There was s