七氟醚和丙泊酚全麻维持对腹腔镜胆囊切除术后疼痛影响的比较  

Effect of sevoflurane and propofol anesthesia maintained in postoperative analgesia undergoing laparoscopic cholecystectomy

作　　者：陈江山[1] 李美亭[1] 兰志勋[1] 

机构地区：[1]四川省医学科学院.四川省人民医院麻醉科,四川成都610072

出　　处：《西部医学》2011年第12期2384-2386,共3页Medical Journal of West China

摘　　要：目的比较七氟醚和丙泊酚全麻维持对腹腔镜胆囊切除术后患者疼痛的影响。方法选择腹腔镜胆囊切除手术患者80例,随机分为丙泊酚组(P组,n=40)和七氟醚组(S组,n=40),分别靶控静脉输注丙泊酚或七氟醚吸入维持麻醉,术后采用芬太尼患者自控镇痛(PCA),记录术后不同时间点视觉模拟量表(VAS)值、PCA实际按压次数、有效按压次数及芬太尼总用量。结果术后4hVAS评分偏高,各时点VAS评分两组间差异无统计学意义(P>0.05),PCA实际按压次数、有效按压次数及芬太尼总用量两组间差异也无统计学意义(P>0.05)。结论七氟醚和丙泊酚全麻维持对术后疼痛的影响没有差异。Objective To compare sevoflurane and propofol anesthesia for laparoscopic cholecystectomy to maintain patients on fentanyl requirements of different anesthetics on postoperative pain in laparoscopic cholecystectomy influence.Methods Laparoscopic cholecystectomy 80 patients were randomly divided into propofol group（P group,n=40） and sevoflurane group（S group,n=40）,respectively,target-controlled infusion of propofol orsevoflurane to maintain anesthesia,postoperative use of fentanyl patient-controlled analgesia（PCA）,recorded at different time points after the visual analog scale（VAS） values,PCA actually push the number of effective compression frequency and the total amount of fentanyl.Results 4h VAS score high VAS score between the two groups at each time point was no significant difference（P〈0.05）,PCA actually push the number of effective compression frequency and the total amount of fentanyl was no significant difference between the two groupssignificance（P〈0.05）.Conclusion sevoflurane and propofol anesthesia to maintain the impact of postoperative pain does not differ.

关 键 词：七氟醚 丙泊酚 芬太尼 患者自控镇痛 腹腔镜胆囊切除术 

分 类 号：R614.2[医药卫生—麻醉学]