瑞芬太尼联合丙泊酚在腹腔镜胆囊切除术麻醉中的应用分析.docVIP

瑞芬太尼联合丙泊酚在腹腔镜胆囊切除术麻醉中的应用分析 黄杰锋 江苏省南通市第二人民医院麻醉科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:观察瑞芬太尼联合丙泊酚应用在腹腔镜胆囊切除术麻醉中的临床效果。方法:将某院2016年1月2017年2月122例腹腔镜胆囊手术患者随机分成观察组和对照组, 每组61例患者。观察组患者给予瑞芬太尼联合丙泊酚进行麻醉, 对照组患者给予芬太尼进行麻醉, 记录患者SPP、DBP、HR等生命体征指标变化, 术后比较两组患者的睁眼时间、术后苏醒时间、拔管时间。结果:观察组患者各项生命体征指标更稳定, 术后观察组患者的自主呼吸恢复时间、术后苏醒时间、拔管时间明显短于对照组患者, 两组数据对比差异有统计学意义 (P<0.05) 。结论:瑞芬太尼联合丙泊酚在腹腔镜胆囊切除术麻醉中效果确切, 患者恢复更快, 安全可靠。 关键词： 瑞芬太尼; 丙泊酚; 腹腔镜; 作者简介：黄杰锋 (1980-) , 男, 江苏南通人, 本科, 学士, 主治医师。研究方向:临床麻醉工作。 收稿日期：2017-06-02 Analysis of Remifentanil Combined with Propofol in Laparoscopic Cholecystectomy Huang Jiefeng Department of Anesthesiology, Nantong No.2 People's Hospital, Jiangsu Province; Abstract： Objective:To observe the clinical effect of remifentanil combined with propofol in laparoscopic cholecystectomy.Methods:122 cases of laparoscopic cholecystectomy in a hospital from January 2016 to February 2017 were randomly divided into the observation group and the control group, 61 cases in each group.The observation group was treated with remifentanil combined with propofol and fentanyl for patients in the control group, SPP, DBP, changes were recorded by HR, to compare the two groups of patients with open time, postoperative recovery time, extubation time after operation.Results:In the observation group, patients with vital signs is more stable and postoperative respiratory patients self recovery time, postoperative recovery time, extubation time was significantly shorter than the control group, the difference was statistically significant (P<0.05) .Conclusion:Remifentanil Combined with propofol in laparoscopic cholecystectomy anesthesia effect is better, patients recover faster, so it is safe and reliable. Keyword： remifentanil; propofol; laparoscopy; Received： 2017-06-02 近年来随着腹腔镜器械的发展和手术操作技术的提高, 腹腔镜胆囊切除术广泛应用于临床, 与传统的开腹手术相比, 患者出血量少, 受到的手术创伤明显更小, 需要的恢复时间大幅缩短, 逐渐得到了医学界及患者的认可[1]。在手术过程中, 患者的麻醉深度和循环波动对手术的影响很大, 如何更好地应用麻醉剂保证麻醉效果十分重要。临床上多使用芬太尼作为麻醉剂, 常出现体动反应、低