瑞芬太尼复合丙泊酚用于腹腔镜胆囊切除术的麻醉疗效  

Anesthesia efficacy of remifentanil combined with propofol during laparoscopic cholecystectomy

作　　者：王晓山[1] 叶卫东[1] 易云飞[1] 

机构地区：[1]民航总医院麻醉科,北京100123

出　　处：《湖南中医药大学学报》2013年第8期43-44,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨瑞芬太尼复合丙泊酚用于腹腔镜胆囊切除术的麻醉疗效观察。方法选择80例择期进行腹腔镜胆囊切除术的患者,美国麻醉医师学会ASA分级I级或II级,随机分为两组:瑞芬太尼复合丙泊酚麻醉组(观察组)和芬太尼复合丙泊酚麻醉组(对照组),每组40例,分别于各时点观察比较两组的麻醉效果。结果与对照组相比,观察组患者血流动力学变化较平稳、术后恢复快、疼痛视觉模拟评分为"优",且患者术后恶心呕吐、头痛、烦躁等不良反应发生率低。结论瑞芬太尼复合丙泊酚全凭静脉麻醉用于腹腔镜胆囊切除术具有麻醉效果好、起效快、生命体征平稳、可控性强、代谢迅速、连续输注无蓄积、不良反应少等优点,是临床上腹腔镜胆囊切除术的理想麻醉方法。Objective To investigate the anesthesia efficacy of remifentanil combined with propofol during taparoscopic cholecystectomy.Methods Totally 80 cases patients undergoing elective laparoscopic cholecystectomy were randomly divided into two groups： remifentanil combined with propoful group （observation group） and fentanyl combined with propofol group （control group）, each group have 40 Cases, compared the anesthesia effect of two groups in each observed time point. Results Compared with the control group, the observation group patients＇ homodynamic change is relatively stable, postoperative recovery quickly, visual analog pain score of ＂excellent＂, and lower incidence of the patients＇ adverse reactions such as postoperative nausea and vomiting, headache, be agitated. Conclusion The anesthesia efficacy of remifentauil combined with propofol during LC is effect quickly; stable vital signs, strong controllability, metabolic rapid, continuous infusion without accumulation, less adverse reaction, can be an ideal anesthesia method.

关 键 词：腹腔镜胆囊切除术 瑞芬太尼 丙泊酚 麻醉疗效 

分 类 号：R641[医药卫生—外科学]