CAJ | 학술논문

　　目的：探讨丙泊酚复合瑞芬太尼麻醉对腹部手术患者的麻醉效果。方法：选择我院腹部手术患者共233例，并随机分为观察组和对照组。两组患者均实施全身麻醉，采用相同麻醉诱导，对照组采用异氟醚和芬太尼麻醉维持，观察组患者给予丙泊酚和瑞芬太尼麻醉维持。观察两组患者麻醉效果。结果：观察组插管5分钟时的血压和心率及插管10分钟的血压和心率分别与对照组的同时间的血压和心率比较，差异有统计学意义（P＜0.05）。观察组患者自主呼吸恢复时间早于对照组，且差异有统计学意义（P＜0.05）；观察组苏醒时间早于对照组，且差异有统计学意义（P＜0.05）。结论：丙泊酚复合瑞芬太尼麻醉用于腹部手术患者的麻醉时血流动力学稳定、患者术后苏醒时间及麻醉效果显著。
　　목적：탐토병박분복합서분태니마취대복부수술환자적마취효과。방법：선택아원복부수술환자공233례，병수궤분위관찰조화대조조。량조환자균실시전신마취，채용상동마취유도，대조조채용이불미화분태니마취유지，관찰조환자급여병박분화서분태니마취유지。관찰량조환자마취효과。결과：관찰조삽관5분종시적혈압화심솔급삽관10분종적혈압화심솔분별여대조조적동시간적혈압화심솔비교，차이유통계학의의（P＜0.05）。관찰조환자자주호흡회복시간조우대조조，차차이유통계학의의（P＜0.05）；관찰조소성시간조우대조조，차차이유통계학의의（P＜0.05）。결론：병박분복합서분태니마취용우복부수술환자적마취시혈류동역학은정、환자술후소성시간급마취효과현저。
Objective:To explore the effect of propofol combined with remifentanil anesthesia on abdominal operation. Methods :233 cases with abdominal operation patients were selected and randomly divided into observation group and control group. patients in two groups were under general anesthesia, the same anesthesia induction was used to two groups, isoflurane and fentanyl was used for anesthesia maintenance in control group,and propofol and remifentanil was used for anesthesia maintenance in observation group. anesthetic effect was observed in two groups. Results:Blood pressure and heart rate after intubation cannula for 5 minutes and10 minutes in observation group compared with those in control group ,the difference was statistically significant (P<0.05). Spontaneous breathing recovery time in the observation group patients is earlier than that in the control group, the difference was statistically significant (P<0.05); recovery time in observation group earlier than that in the control group, the difference was statistically significant (P<0.05). Conclusion:Propofol and remifentanil anesthesia in patients with abdominal operation has hemodynamic stability,Patients wake up early after operation,and the anesthetic effect is significant.