腹腔镜胆囊切除手术中应用瑞芬太尼复合异丙酚麻醉的体会  

Application of laparoscopic surgery with remifentanil and propofol anesthesia experience

作　　者：王昌合 王娟[1] 雷修华[1] 

机构地区：[1]淮北矿工总医院,安徽淮北235000

出　　处：《中外医学研究》2010年第19期34-35,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨瑞芬太尼复合异丙酚在腹腔镜胆囊切除手术中的麻醉处理。方法根据是否吸入麻醉药而随机分为静脉吸入复合麻醉组（静吸组）和全静脉麻醉组（全凭组）。两组均采用经口气管内插管全身麻醉，术前30min常规肌内注射阿托品0．5mg和苯巴比妥钠0．1g。静吸组用咪唑安定0．04mg／kg、芬太尼3μg／kg、维库溴铵0．1mg／kg，异丙酚1mg／kg诱导插管。结果拔管时间、清醒程度两组间比较无显著性差异（P〉0．05）。全凭组术后恶心呕吐发生率明显〈静吸组（P〈0．05）。两组组间及组内Sp02比较均无显著性差异（P〉0．05）。结论瑞芬太尼复合异丙酚用于腹腔镜胆囊切除手术麻醉是一种安全、有效的快诱导麻醉方法，值得推广应用。Objective To study the remifentanil and propofol during laparoscopic surgery anesthesia. Methods Depending on whether inhalation anesthetics and intravenous combined anesthesia were randomly divided into group （ inhalation group） and total intravenous anesthesia group （depends group）. Both groups were orotracheal intubation under general anesthesia, 30 min routine preoperative intramuscular injection of atropine 0.5 mg and phenobarbital 0. 1 g. Inhalation group received midazolam 0. 04 mg / kg, fentanyl 3μg / kg, veeuronium 0. 1 mg / kg, propofol 1 mg/kg intubation. Results Extubation time, the level of consciousness between the two groups showed no significant difference （P 〉0. 05 ） Thanks to the incidence of postoperative nausea and vomiting significantly 〈 inhalation group （ P 〈 0. 05 ）. Between the two groups and within groups SpO2 There were no significant differences （P 〉 0. 05）. Conclusion Remifentanil and propofol anesthesia for laparoscopic chole- cystectomy is a safe, fast and effective method of induction of anesthesia, should be widely applied.

关 键 词：瑞芬太尼复合异丙酚 腹腔镜胆囊切除 麻醉 

分 类 号：R657.4[医药卫生—外科学]