七氟醚或丙泊酚复合瑞芬太尼麻醉应用于腹腔镜胆囊切除术临床分析.docx

七氟酉迷或丙泊酚复合瑞芬太尼麻醉应用于腹腔镜胆囊切除 术临床分析 王金伟 (绵竹市人民医院四川德阳618200) 【摘要】目的：分析、探讨七氟醍或丙泊酚复合瑞芬太尼麻醉应用于腹腔 镜胆囊切除术的临床效果。方法：选取我院收治的胆囊结石患者100例，分为观 察组50例，对照组50例。在腹腔镜切术手术Z前，对这些患者实行全身麻醉。 其屮，对照组采用常规的麻醉方法，观察组采用七氟瞇或丙泊酚复合瑞芬太尼麻 醉方法。然后对两组麻醉疗效进行比较。结果：在腹腔镜切除手术结束后，观察 组患者意识恢复时间短，定向恢复能力强，麻醉效果比对照组明显。P<0.05, 具有统计学意义。结论：对胆囊结石患者进行腹腔镜手术之后，采用七氟醸或丙 泊酚复合瑞芬太尼麻醉具有明显的优势，值得在临床上进行推广。 【关键词】麻醉；术后早期认知功能障碍；临床；七氟醸；丙泊酚；瑞芬 太尼 【屮图分类号】R614 【文献标识码】A 【文章编号】2095-1752 (2016) 04-0038-02 Sevoflurane or composite rui fentanyl propofol anesthesia applied in the clinical analysis of laparoscopic cholecystectomy Wang Jinwei Mianzhu city people's hospital Deyang city, sichuan provinee, 618200 【Abstract] Objective To analyze, investigate sevoflurane or propofol and remifentanil anesthesia in laparoscopic cholecystectomy clinical results. Methods 100 cases of gallstone patients admitted to our hospital, divided into two groups 50 cases, 50 cases in the control group. Before laparoscopic resection surgery, these patients carry out a gen eral an esthetic. Among them, the con trol group with conventional method of anesthesia, observation group sevoflurane or propofol and remifentanil anesthesia. Then the two groups were compared the efficacy of anesthesia. Results At the end of laparoscopic surgery, the patients in the observation group con scious ness recovery time is short, directed recovery ability, an esthetic effect significantly higher than the control group. P <0.05, with statistical significanee. Conclusion After laparoscopic surgery in patients with gallstone using sevoflurane or propofol and remifentanil anesthesia has obvious advantages, worth in clinical practice. 【Key words] Anesthesia; Early postoperative cognitive dysfunction; Clinical; sevoflurane; Propofol; remifentanil 胆囊结石是一种常见的外科疾病，以腹腔镜切术手术为治疗手段。在手术过 程中，创伤小、岀血少，术后恢复快。腹腔镜切除手术前，要对患者进行全身麻 醉。为了防止患者麻醉术后产生多种并发症，选择麻醉药非常重要。一般，临床 上选择的麻醉药主要有七氟酬、丙泊酚、瑞芬太尼等药物。但是对采用何种麻醉 药在医学界-直没有统-的意见。因此，本院选取100例胆囊结石患者作为研究 对象，探讨腹腔镜前术后麻醉的最佳效果，现报告如下。 1 .材料与方法 1.1 一般资料 选取2014年5月到2015年9月在我院就诊的胆囊结石