中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
26期
42-43,44
,共3页
丙泊酚%瑞芬太尼%腹腔镜胆囊切除术%全凭静脉麻醉
丙泊酚%瑞芬太尼%腹腔鏡膽囊切除術%全憑靜脈痳醉
병박분%서분태니%복강경담낭절제술%전빙정맥마취
Propofol%Remifentanil%Laparoscopic cholecystectomy%Intravenous anesthesia
目的：进一步探讨丙泊酚瑞芬太尼静脉麻醉在腹腔镜胆囊切除术中的应用效果。方法：选取本院2010年12月-2012年6月收治的48例实施腹腔镜胆囊切除术的患者为研究对象，随机分为观察组和对照组，每组24例。观察组给予丙泊酚静脉复合瑞芬太尼进行麻醉，对照组给予丙泊酚静脉复合芬太尼进行麻醉，观察两组血流动力学变化、自主呼吸恢复、拔除气管导管时间、苏醒后躁动和恶心呕吐的发生率。结果：观察组自主呼吸恢复时间、拔除气管导管时间均明显短于对照组（P<0.05）；观察组术后躁动高于对照组（P<0.05）；观察组血流动力学无明显变化；两组恶心呕吐发生率相当。结论：丙泊酚静脉复合瑞芬太尼全麻用于腹腔镜胆囊切除术是一种安全、高效、并发症较少的麻醉方法。
目的：進一步探討丙泊酚瑞芬太尼靜脈痳醉在腹腔鏡膽囊切除術中的應用效果。方法：選取本院2010年12月-2012年6月收治的48例實施腹腔鏡膽囊切除術的患者為研究對象，隨機分為觀察組和對照組，每組24例。觀察組給予丙泊酚靜脈複閤瑞芬太尼進行痳醉，對照組給予丙泊酚靜脈複閤芬太尼進行痳醉，觀察兩組血流動力學變化、自主呼吸恢複、拔除氣管導管時間、囌醒後躁動和噁心嘔吐的髮生率。結果：觀察組自主呼吸恢複時間、拔除氣管導管時間均明顯短于對照組（P<0.05）；觀察組術後躁動高于對照組（P<0.05）；觀察組血流動力學無明顯變化；兩組噁心嘔吐髮生率相噹。結論：丙泊酚靜脈複閤瑞芬太尼全痳用于腹腔鏡膽囊切除術是一種安全、高效、併髮癥較少的痳醉方法。
목적：진일보탐토병박분서분태니정맥마취재복강경담낭절제술중적응용효과。방법：선취본원2010년12월-2012년6월수치적48례실시복강경담낭절제술적환자위연구대상，수궤분위관찰조화대조조，매조24례。관찰조급여병박분정맥복합서분태니진행마취，대조조급여병박분정맥복합분태니진행마취，관찰량조혈류동역학변화、자주호흡회복、발제기관도관시간、소성후조동화악심구토적발생솔。결과：관찰조자주호흡회복시간、발제기관도관시간균명현단우대조조（P<0.05）；관찰조술후조동고우대조조（P<0.05）；관찰조혈류동역학무명현변화；량조악심구토발생솔상당。결론：병박분정맥복합서분태니전마용우복강경담낭절제술시일충안전、고효、병발증교소적마취방법。
Objective:To further explore propofol compound remifentanil intravenous anesthesia in the application of laparoscopic cholecystectomy.Method:The data of ourhospital from December 2010 to June 2012 to 48 cases of patients with laparoscopic cholecystectomy anesthesia were randomized equally into 2 groups:observation group and control group,each group of 24 cases.The observation group using propofol compound remifentanil intravenous anesthesia,the control group using propofol compound fentanil intravenous anesthesia.Each group observe hemodynamic changes,spontaneous breathing time,drawing the endotracheal tube time,incidence of restless during postanaesthetic recovery,postoperative nausea and vomiting.Result:The results showed that the time of spontaneous breathing,drawing the endotracheal tube,in observation group was significantly lower than that in control group(P<0.05).The incidence of adverse effect of postoperative nausea and vomiting in control group was lower significantly than that in observation group(P<0.05).There was no difference on the incidence of postoperative nausea and vomiting in each group.There was no obvious change in the observation hemodynamic changes.Conclusion:Propofol compound remifentanil intravenous anesthesia in laparoscopic cholecystectomy with surgical trauma in small,the time is short,less bleeding,easy to accept patients etc,and is worth clinical promotion.
