瑞芬太尼-丙泊酚靶控输注麻醉和瑞芬太尼-七氟醚麻醉两种麻醉方法在腹腔镜胆囊手术中的麻醉效果  

Remifentanil-propofol Target-controlled Infusion Anesthesia and Remifentanil-sevoflurane Anesthesia in Laparoscopic Gallbladder Surgery

作　　者：郁娜 刘朝阳 YU Na;LIU Chaoyang(Department of Anesthesiology,Xinyi People's Hospital,Xinyi,Jiangsu Province,221400 China)

机构地区：[1]新沂市人民医院麻醉科,江苏新沂221400

出　　处：《系统医学》2021年第19期45-47,共3页Systems Medicine

摘　　要：目的探究瑞芬太尼-丙泊酚靶控输注麻醉和瑞芬太尼-七氟醚麻醉两种麻醉方法在腹腔镜胆囊手术中的麻醉效果。方法选取2017年11月-2020年5月作为时间区间,以该时区内就该院接受腹腔镜胆囊手术治疗的102例患者作为该次研究对象。基于对象自主自愿原则予以分组,均分为对照组与观察组,每组51例。对照组予以瑞芬太尼联合丙泊酚靶控输注麻醉方式,观察组则给予瑞芬太尼联合七氟醚麻醉治疗方式。分析比对两组对象各项生命体征情况和麻醉效果情况。结果观察组收缩压、舒张压及心率3项生命体征数据[(125.5±3.0)mmHg、(81.2±2.5)mmHg、(83.4±2.0)次/min]对比于对照组[(136.2±3.0)mmHg、(87.2±2.5)mmHg、(91.3±2.0)次/min]均呈现了一定程度优越性,差异有统计学意义(t=18.011、12.119、19.947,P<0.001);且该组各麻醉指标[(5.7±1.0)、(6.2±1.0)、(7.6±1.5)、(21.1±1.5)min]对比于对照组[(8.6±1.0)、(9.8±1.0)、(11.3±1.5)、(26.3±1.5)min]也均呈现了一定程度优越性,差异有统计学意义(t=14.644、18.179、12.456、17.506,P<0.001)。结论在腹腔镜胆囊手术中采用瑞芬太尼联合七氟醚麻醉方式,能有效改善患者各项生命体征,促进患者自主恢复,麻醉效果显著,值得进一步应用。Objective To explore the anesthesia effects of remifentanil-propofol target-controlled infusion anesthesia and remifentanil-sevoflurane anesthesia in laparoscopic gallbladder surgery.Methods The period from November 2017 to May 2020 was selected as the time interval,and 102 patients who underwent laparoscopic gallbladder surgery in the hospital in this time zone were selected as the research objects.The subjects were grouped based on the principle of autonomy and voluntariness,and were divided into the control group and the observation group,with 51 cases in each group.The control group was given remifentanil combined with propofol target-controlled infusion anesthesia,and the observation group was given remifentanil combined with sevoflurane anesthesia.Analyze and compare the vital signs and anesthesia effects of the two groups of subjects.Results The three vital signs data of systolic blood pressure,diastolic blood pressure and heart rate in the observation group[(125.5±3.0)mmHg,(81.2±2.5)mmHg,(83.4±2.0)次/min]were compared with those in the control group[(136.2±3.0)mmHg,(87.2±2.5)mmHg,(91.3±2.0)次/min]showed a certain degree of superiority,the difference was statistically significant(t=18.011,12.119,19.947,P<0.001);and each anesthesia index in this group[(5.7±1.0)min,(6.2±1.0)min,(7.6±1.5)min,(21.1±1.5)min]compared with the control group[(8.6±1.0)min,(9.8±1.0)min,(11.3±1.5)min,(26.3±1.5)min]also showed a certain degree of superiority,the difference was statistically significant(t=14.644,18.179,12.456,17.506,P<0.001).Conclusion Remifentanil combined with sevoflurane anesthesia in laparoscopic gallbladder surgery can effectively improve the patient's vital signs and promote the patient's voluntary recovery.The anesthesia effect is significant,and it is worthy of further application.

关 键 词：瑞芬太尼 丙泊酚 七氟醚 麻醉 

分 类 号：R614[医药卫生—麻醉学]