中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
2期
235-236
,共2页
瑞芬太尼%丙泊酚%全凭静脉麻醉%胆囊切除术,腹腔镜
瑞芬太尼%丙泊酚%全憑靜脈痳醉%膽囊切除術,腹腔鏡
서분태니%병박분%전빙정맥마취%담낭절제술,복강경
Remifentanil%Propofol%Total intravenous anesthesia%Laparoscopic cholecystectomy
目的 观察瑞芬太尼复合丙泊酚在腹腔镜胆囊切除术(LC)的麻醉效果及安全性.方法 将我院80例择期行LC的患者完全随机分为对照组及观察组,各40例.对照组采用静吸复合麻醉；观察组采用全凭静脉麻醉.观察2组手术麻醉前后平均动脉压、HR的变化并加以比较,比较2组术后苏醒时间和拔管时间以及警觉-镇静评分(OAAS评分).结果 观察组与对照组患者切皮后和术毕的平均动脉压和HR与诱导前比较差异均有统计学意义(P＜0.05)；对照组患者切皮后、术毕的平均动脉压、HR高于观察组患者[平均动脉压:(83 ±10) mm Hg(1 mm Hg=0.133 kPa)比(76±8)mmHg,(89±10)mm Hg比(80±8)mm Hg; HR:(78±12)次/min比(70±8)次/min,(85±8)次/min比(76±6)次/min],差异有统计学意义(均P＜0.05).观察组患者术后苏醒时间和拔管时间少于对照组[分别为(6±2)min比(11±2)min,(11±2)min比(16±2) min,均P＜0.05],且OAAS评分明显高于对照组[(4.3±1.6)分比(3.0±1.3)分,P＜0.05].结论 与静吸复合麻醉比较,瑞芬太尼复合丙泊酚全凭静脉麻醉维持平稳,术中血流动力学稳定,术后苏醒快,拔管早,安全可行.
目的 觀察瑞芬太尼複閤丙泊酚在腹腔鏡膽囊切除術(LC)的痳醉效果及安全性.方法 將我院80例擇期行LC的患者完全隨機分為對照組及觀察組,各40例.對照組採用靜吸複閤痳醉；觀察組採用全憑靜脈痳醉.觀察2組手術痳醉前後平均動脈壓、HR的變化併加以比較,比較2組術後囌醒時間和拔管時間以及警覺-鎮靜評分(OAAS評分).結果 觀察組與對照組患者切皮後和術畢的平均動脈壓和HR與誘導前比較差異均有統計學意義(P＜0.05)；對照組患者切皮後、術畢的平均動脈壓、HR高于觀察組患者[平均動脈壓:(83 ±10) mm Hg(1 mm Hg=0.133 kPa)比(76±8)mmHg,(89±10)mm Hg比(80±8)mm Hg; HR:(78±12)次/min比(70±8)次/min,(85±8)次/min比(76±6)次/min],差異有統計學意義(均P＜0.05).觀察組患者術後囌醒時間和拔管時間少于對照組[分彆為(6±2)min比(11±2)min,(11±2)min比(16±2) min,均P＜0.05],且OAAS評分明顯高于對照組[(4.3±1.6)分比(3.0±1.3)分,P＜0.05].結論 與靜吸複閤痳醉比較,瑞芬太尼複閤丙泊酚全憑靜脈痳醉維持平穩,術中血流動力學穩定,術後囌醒快,拔管早,安全可行.
목적 관찰서분태니복합병박분재복강경담낭절제술(LC)적마취효과급안전성.방법 장아원80례택기행LC적환자완전수궤분위대조조급관찰조,각40례.대조조채용정흡복합마취；관찰조채용전빙정맥마취.관찰2조수술마취전후평균동맥압、HR적변화병가이비교,비교2조술후소성시간화발관시간이급경각-진정평분(OAAS평분).결과 관찰조여대조조환자절피후화술필적평균동맥압화HR여유도전비교차이균유통계학의의(P＜0.05)；대조조환자절피후、술필적평균동맥압、HR고우관찰조환자[평균동맥압:(83 ±10) mm Hg(1 mm Hg=0.133 kPa)비(76±8)mmHg,(89±10)mm Hg비(80±8)mm Hg; HR:(78±12)차/min비(70±8)차/min,(85±8)차/min비(76±6)차/min],차이유통계학의의(균P＜0.05).관찰조환자술후소성시간화발관시간소우대조조[분별위(6±2)min비(11±2)min,(11±2)min비(16±2) min,균P＜0.05],차OAAS평분명현고우대조조[(4.3±1.6)분비(3.0±1.3)분,P＜0.05].결론 여정흡복합마취비교,서분태니복합병박분전빙정맥마취유지평은,술중혈류동역학은정,술후소성쾌,발관조,안전가행.
Objective To explore anesthetic efficacy and reliability of remifentanil and propofol for laparoscopic cholecystectomy.Methods Eighty patients scheduled for laparoscopic cholecystectomy were randomly divided into control group and observation group(40 cases in each group).Patients in the control group were treated with inhalation anesthesia,while those in the observation group received total intravenous anesthesia.Mean arterial pressure (MAP) and heart rate(HR) were observed and compared before and after observation in two groups,and recovery time,extubation time and alert-calm score (OAAS) post operation were compared in two groups.Results Compared to before observation,there was a significant difference in MAP and HR in two groups (all P ＜ 0.05).The MAP [(83 ± 10)mm Hg(1 mm Hg =0.133 kPa) vs (76 ±8)mm Hg,(89 ± 10)mm Hg vs (80 ±8)mm Hg]and HR [(78 ± 12) times per min vs (70 ± 8) times per min,(85 ± 8) times per min vs (76 ± 6) times per min]after incision and postoperation in the control group were higher than those in the observation group(all P ＜ 0.05).The postoperative recovery time and extubation time in observation group were less than those in control group [(6 ±2) min vs (11 ± 2) min,(11 ± 2) min vs (16 ± 2) min,respectively,all P ＜ 0.05],and the OAAS score was higher than that in control group (P ＜ 0.05).Conclusions Compared with the control group,patients in the observation group remain stable anesthesia and hemodynamic stability.They wake up earlier after surgery and have earlier extubation than those in the control group.Therefore,it is safe and feasible to apply remifentanil and propofol during laparoscopic cholecystectomy.
