联合麻醉用于小切口胆囊切除52例临床观察.docVIP

精品论文 参考文献 联合麻醉用于小切口胆囊切除52例临床观察 李扬梅 　　（新津县人民医院 四川 成都 611430） 　　【摘要】 目的：探讨联合麻醉在小切口胆囊切除术中的临床应用。方法：随机选择我院自2013年9月至2015年8月收治的52例采用联合麻醉的小切口胆囊切除术患者，作为本次研究的治疗组患者，选择同期入院治疗同一麻醉药物进行手术的52例患者，作为本次研究的对照组患者，全部患者均采用气管插管全麻，诱导药物一致。对照组患者采用异氟醚作为术中维持麻醉，每30min追加芬太尼。治疗组患者采用微量泵注丙泊酚+瑞芬太尼作为维持麻醉。结果：治疗组患者清醒时间与拔管时间较对照组有明显缩短（Plt;0.05），两组患者不良反应发生情况比较，无明显差异（Pgt;0.05）。结论：联合麻醉可提高麻醉工作效率，具有一定的安全性，可临床推广应用。 　　【关键词】 联合麻醉；小切口胆囊切除术；临床应用 　　【中图分类号】R614.1 【文献标识码】A 【文章编号】2095-1752（2016）06-0041-01 　　Clinical observation of 52 cases with small incision cholecystectomy combined with anesthesia Li Yangmei. 　　The Peoples Hospital of Xinjin County, Sichuan Province, Chengdu 611430, China 　　【Abstract】Objective To investigate the clinical application of combined anesthesia in small incision cholecystectomy. Methods A total of 52 patients with small incision cholecystectomy from August 2015 to September 2013 were randomly selected. The patients were treated with the combined anesthesia. The patients were treated with 52 patients who were treated with the same anesthesia. The control group was treated with isoflurane used during maintenance of anesthesia, fentanyl per 30min. In the treatment group, the use of micro pump infusion of propofol and remifentanil as the maintenance of anesthesia. Results In the treatment group, the time of awake and extubation were significantly shorter than the control group (Plt;0.05), the adverse reactions of the two groups were compared, no significant difference (Pgt;0.05). Conclusion Combined anesthesia can improve the efficiency of anesthesia, and has a certain safety, it can be used in clinical application. 　　【Key words】Combined anesthesia; Small incision cholecystectomy; Clinical application 　　小切口胆囊切除术的切口仅为3cm左右，既满足了患者治疗的需求，又满足了患者在美观方面的需求，受到临床的广泛欢迎。但是，小切口胆囊切除术对操作者的操作技能及麻醉提出了更高的要求[1]。本组研究中，通过采用联合麻醉的方式对小切口胆囊切除术进行麻醉，观察其在临床应用上的价值，现将结果报告如下。 　　1.资料与方法 　　1.1 一般资料 　　随机选择我院自2013年9月至2015年8月收治的52例采用联合麻醉的小切口胆囊切除术患者，作为本次研究的治疗组患者，患者中男性31例，女性21例；患者年龄26～75岁