麻醉诱导后丙泊酚复合瑞芬太尼静脉泵注维持对腹腔镜胆囊切除术术中血流动力学的影响分析  

Analysis of the Effect of Propofol Combined with Remifentanil Intravenous Pumping Maintenance after Induction of Anesthesia on Intraoperative Hemodynamics of Laparoscopic Cholecystectomy

作　　者：申伟 吕元玲 陈杰 SHEN Wei;LYU Yuanling;CHEN Jie(Anesthesiology Department,Qianxi People's Hospital,Qianxi 551500,Guizhou,China)

机构地区：[1]黔西市人民医院麻醉科,贵州黔西551500

出　　处：《系统医学》2024年第14期57-59,63,共4页Systems Medicine

摘　　要：目的探究腹腔镜胆囊切除术麻醉诱导后采用丙泊酚复合瑞芬太尼静脉泵注维持对患者术中血流动力学的影响。方法非随机选取2021年1月—2023年12月黔西市人民医院收治的70例腹腔镜胆囊切除术治疗的患者为研究对象,按不同麻醉方法分为观察组和对照组,各35例。观察组麻醉诱导后给予丙泊酚复合瑞芬太尼静脉泵注维持麻醉,对照组麻醉诱导后给予丙泊酚联合间断给予舒芬太尼麻醉。对比两组患者血流动力学指标水平、术中镇静评分、术后苏醒时间。结果T1、T2时,观察组心率、收缩压、舒张压水平优于对照组,差异有统计学意义(P均<0.05)。观察组患者术中镇静评分(-1.78±0.15)分、术后苏醒时间(7.69±1.48)min,优于对照组的(1.02±0.17)分、(14.06±2.13)min,差异有统计学意义(t=8.237,t=9.574,P均<0.05)。结论对行腹腔镜胆囊切除术的患者在麻醉诱导后给予丙泊酚复合瑞芬太尼静脉泵注维持麻醉,镇静效果良好,可减轻其术中血流动力学波动、缩短术后苏醒时间。Objective To investigate the effect of propofol combined with remifentanil intravenous pump maintenance on intraoperative hemodynamics in patients undergoing laparoscopic cholecystectomy under anesthesia induction.Methods Seventy cases of patients admitted with laparoscopic cholecystectomy in Qianxi City People's Hospital from January 2021 to December 2023 were non-randomly selected as study subjects.They were divided into observation group and control group according to different anesthesia methods,35 cases each.In the observation group,propofol combined with remifentanil was given to maintain anesthesia by intravenous pumping after induction of anesthesia,and in the control group,propofol combined with intermittent sufentanil was given to maintain anesthesia after induction of anesthesia.The levels of hemodynamic indexes,intraoperative sedation scores,and postoperative awakening time were compared between the two groups.Results At T1 and T2,the heart rate,systolic blood pressure,and diastolic blood pressure levels of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).The intraoperative sedation score was-1.78±0.15 and postoperative awakening time was(7.69±1.48)min of the patients in the observation groups,which were better than 1.02±0.17 and(14.06±2.13)min of the control group,and the differences were statistically significant(t=8.237,9.574,both P<0.05).Conclusion For patients undergoing laparoscopic cholecystectomy,intravenous infusion of propofol combined with remifen‐tanil after anesthesia induction can not only achieve good sedative effects,but also reduce intraoperative hemodynamic fluctuations and shorten postoperative recovery time.

关 键 词：丙泊酚 瑞芬太尼 腹腔镜胆囊切除术 血流动力学 维持麻醉 

分 类 号：R614[医药卫生—麻醉学]