中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
7期
1176-1177
,共2页
胆囊切除术,腹腔镜%麻醉,静脉
膽囊切除術,腹腔鏡%痳醉,靜脈
담낭절제술,복강경%마취,정맥
Cholecystectomy,laparoscopi%Anesthesia,intravenous
目的 研究异丙酚和芬太尼全凭静脉麻醉在腹腔镜胆囊切除术中(LC)的应用及其效果.方法 择期LC手术患者100例随机分为静吸复合麻醉组(A组)50例和全凭静脉麻醉组(B组)50例.记录麻醉诱导前、气腹前和气腹后10 min、气腹毕和术毕的心率(HR)、收缩压(SBP)、舒张压(DBP)和脉搏血氧饱和度(SpO2)及停止麻醉至拔管的时间、拔管时的清醒程度.结果 A组气腹后10 min HR(96.8±13.5)次·min-1、SBP(142.5±14.3)mmHg、DBP(93.0±14.3)mmHg均高于麻醉诱导前(82.3±12.5)次·min-1、(129.0±21.7)mmHg、(77.3±13.5)mmHg(P<0.05～0.01);B组气腹后10 min HR(84.0±11.0)次/min、气腹毕(76.3±9.0)次/min低于A组(96.8±13.5)次/min、(84.1±11.0)次/min(P>0.05);B组患者术毕睁眼时间(6.5±1.5)min、拔管时间(11.5±1.4)min、术后恶心呕吐3例、术后8 h VAS值(2.8±1.1)均低于A组(10.5±2.8)min、(25.2±9.5)min、12例、(5.4±2.1)(P<0.05).结论 全凭静脉麻醉用于LC手术麻醉效果满意.
目的 研究異丙酚和芬太尼全憑靜脈痳醉在腹腔鏡膽囊切除術中(LC)的應用及其效果.方法 擇期LC手術患者100例隨機分為靜吸複閤痳醉組(A組)50例和全憑靜脈痳醉組(B組)50例.記錄痳醉誘導前、氣腹前和氣腹後10 min、氣腹畢和術畢的心率(HR)、收縮壓(SBP)、舒張壓(DBP)和脈搏血氧飽和度(SpO2)及停止痳醉至拔管的時間、拔管時的清醒程度.結果 A組氣腹後10 min HR(96.8±13.5)次·min-1、SBP(142.5±14.3)mmHg、DBP(93.0±14.3)mmHg均高于痳醉誘導前(82.3±12.5)次·min-1、(129.0±21.7)mmHg、(77.3±13.5)mmHg(P<0.05～0.01);B組氣腹後10 min HR(84.0±11.0)次/min、氣腹畢(76.3±9.0)次/min低于A組(96.8±13.5)次/min、(84.1±11.0)次/min(P>0.05);B組患者術畢睜眼時間(6.5±1.5)min、拔管時間(11.5±1.4)min、術後噁心嘔吐3例、術後8 h VAS值(2.8±1.1)均低于A組(10.5±2.8)min、(25.2±9.5)min、12例、(5.4±2.1)(P<0.05).結論 全憑靜脈痳醉用于LC手術痳醉效果滿意.
목적 연구이병분화분태니전빙정맥마취재복강경담낭절제술중(LC)적응용급기효과.방법 택기LC수술환자100례수궤분위정흡복합마취조(A조)50례화전빙정맥마취조(B조)50례.기록마취유도전、기복전화기복후10 min、기복필화술필적심솔(HR)、수축압(SBP)、서장압(DBP)화맥박혈양포화도(SpO2)급정지마취지발관적시간、발관시적청성정도.결과 A조기복후10 min HR(96.8±13.5)차·min-1、SBP(142.5±14.3)mmHg、DBP(93.0±14.3)mmHg균고우마취유도전(82.3±12.5)차·min-1、(129.0±21.7)mmHg、(77.3±13.5)mmHg(P<0.05～0.01);B조기복후10 min HR(84.0±11.0)차/min、기복필(76.3±9.0)차/min저우A조(96.8±13.5)차/min、(84.1±11.0)차/min(P>0.05);B조환자술필정안시간(6.5±1.5)min、발관시간(11.5±1.4)min、술후악심구토3례、술후8 h VAS치(2.8±1.1)균저우A조(10.5±2.8)min、(25.2±9.5)min、12례、(5.4±2.1)(P<0.05).결론 전빙정맥마취용우LC수술마취효과만의.
Objective To study the application of total intravenous anesthesia(TIVA) in patients with larp-aroscopic cholecystectomy(LC). Methods 100 cases with LC were randomly and evenly assigned to two groups: the combined intravenous with inhalation anesthesia(CIIA) group(n = 50) and the TIVA group(n = 50). The maintain anesthesia. BP, HR and SpO2 at all stages and time for extubation,the consciousness were recorded. Results The pneumoperitoneum after 10 min HR(96.8±13.5)times/min,SBP(142.5±14.3) mmHg、DBP(93.0±14.3) mm-Hg in A group higher than before induction of anesthesia(82.3±12.5) times/min, (129.0±21.7) mmHg, (77.3±13.5) mmHg(P < 0.05～0.01) ; The pneumoperitoneum after 10 min HR (84.0±11.0) times/min, pneumoperito-neum comphte(76.3±9.0) times/rain in B group lower than the(96.8±13.5) times/min, (84.1±11.0) times/min in A group(P >0.05); B group patients completed the opening time(6.5±1.5) min、extubation time (11.5±1.4) min、pestoperative nausea and vomiting in 3 cases,after 8 h VAS value of (2.8±1.1) in group B were lower than the (10.5±2.8) min,(25.2±9.5)min,12 cases(5.4±2.1) in group A(t =2. 411, P <0.05). Conclusion The application of TIVA to LC anesthetic effect is satisfaction.
