七氟醚吸入麻醉在腹腔镜胆囊切除术中效果分析.docVIP

七氟醚吸入麻醉在腹腔镜胆囊切除术中的效果分析 　　[摘要] 目的 评价七氟醚吸入麻醉在腹腔镜胆囊切除术中的麻醉效果。方法 选取2010年4月～2013年5月我院收治的需行腹腔镜胆囊切除术的患者70例，随机分为两组，其中观察组35例，使用七氟醚麻醉，对照组35例，使用异氟醚麻醉，观察并比较两组患者收缩压与心率、苏醒时间和苏醒期躁动例数、术后4 h简短精神状态量表（MMSE）评分。 结果 观察组气腹后10min收缩压为（92.9±11.1）mmHg，心率为（75.1±11.4）次/min，对照组收缩压为（99.3±10.9）mmHg，心率为（82.3±13.4）次/min，观察组苏醒时收缩压为（91.3±8.5）mmHg，心率为（74.1±9.9）次每分，对照组收缩压为（97.5±12.7）mmHg，心率为（81.6±13.8）次/min，差异有统计学意义（P0.05）；观察组苏醒期躁动为1例（2.9%），对照组苏醒期躁动为8例（22.9%），差异有统计学意义（P0.05）；观察组术后4 hMMSE评分为（25.1±1.9）分，对照组术后4 hMMSE评分为（20.3±1.6）分，差异有统计学意义（P0.05）。 结论 七氟醚吸入麻醉效果较好，患者苏醒时间短且降低了气腹对患者的影响，值得在临床上予以推广。 　　[关键词] 七氟醚；吸入麻醉；麻醉效果 　　[中图分类号] R614 [文献标识码] B [文章编号] 1673-9701（2014）22-0050-03 　　[Abstract] Objective To evaluate the anesthetic effect of sevoflurane inhaled anesthesia on laparoscopic cholecystectomy. Methods Seventy patients who were admitted to our hospital and required to take laparoscopic cholecystectomy from April 2010 to May 2013 were randomly allocated to two groups. The observation group of 35 patients were given sevoflurane for anesthesia. The control group of 35 patients were given isoflurane. Systolic pressure， heart rate， emergence time， number of patients with emergence delirium， scores of MMSE 4 hours after the surgery were compared between the two groups. Results The systolic pressure 10 min after pneumoperitoneum in the observation group was （92.9±11.1） mmHg， heart rate （75.1±11.4） bpm； the systolic pressure in the control group was （99.3±10.9） mmHg， heart rate （82.3±13.4） bpm. The systolic pressure upon emergence in the observation group was （91.3±8.5） mmHg， heart rate （74.1±9.9） bpm； the systolic pressure of the control group was （97.5±12.7） mmHg， heart rate （81.6±13.8） bpm. The differences between the two groups were statistically significant（P0.05）. 1 patient （2.9%） in the observation group was detected with emergence delirium， while 8 patients （22.9%） in the control group were detected the same. The difference was statistically significant （P0.05）； The scores of MMSE 4 hours after the sur