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的临床观察  

作　　者：梅菊香[1] 周泉华[1] 尹永胜[1] 徐向杨[1] 吴范[1] 赵娟[1] 

机构地区：[1]启东市人民医院,江苏226200

出　　处：《当代医学》2014年第36期131-132,共2页Contemporary Medicine

摘　　要：目的探讨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的临床疗效。方法对腹腔镜胆囊切除术患者临床治疗病例进行抽样,将60例腹腔镜胆囊切除术患者病例按照抽签法随机均分为对照组与治疗组(n=30)。对照组采用丙泊酚复合瑞芬太尼麻醉,观察组采用七氟醚复合瑞芬太尼麻醉治疗。观察2组患者麻醉效果。结果 2组腹腔镜胆囊切除术患者经过药物麻醉之后,观察组腹腔镜胆囊切除术患者麻醉效果明显优于对照组。2组差异具有统计学意义(P<0.05)。结论七氟醚复合瑞芬太尼麻醉应用于腹腔镜胆囊切除术中效果显著,术后患者清醒时间明显加快,还可以有效抑制患者应激反应的出现,值得临床推广应用。Objective To discusses sevoflurane and propofol compound rui fentanyl anesthesia applied in the clinical efficacy of laparoscopic cholecystectomy. Methods Clinical cases of laparoscopic cholecystectomy patients sampling, the 60 cases of patients with laparoscopic cholecystectomy in the draw method were randomly divided into control group and treatment group, 30 cases in each group.The control group using propofol compound fentanyl anesthesia, observation group with sevoflurane compound fentanyl anesthesia treatment.Observe two groups of patients with anesthesia effects. Results Two groups of patients with laparoscopic cholecystectomy after drug anesthesia, observation group of 30 patients with laparoscopic cholecystectomy anesthesia effect is superior to control group of 30 patients with laparoscopic cholecystectomy anesthetic effect.Two groups of patients with laparoscopic cholecystectomy anesthesia effect had significant differences, with statistical significance （P〈0.05）. Conclusion Laparoscopic cholecystectomy patients using sevoflurane composite rui fentanyl anesthesia used in laparoscopic cholecystectomy effect is very significant, postoperative patients awake time obviously accelerated, it also can effectively suppress the occurrence of stress reaction, patients with worth for clinical application.

关 键 词：七氟醚 丙泊酚 瑞芬太尼 麻醉 腹腔镜胆囊切除术 

分 类 号：R614[医药卫生—麻醉学]