CAJ | 학술논문

目的:比较靶控输注丙泊酚全凭静脉麻醉与静吸复合麻醉在腹腔镜胆囊切除术中的临床效果.方法:66例行腹腔镜胆囊切除术的患者随机分为观察组与对照组两组各33例,观察组采用靶控输注丙泊酚全凭静脉麻醉,对照组采用静吸复合麻醉.观察比较两组患者诱导前、气腹后收缩压、舒张压的变化、血氧饱和度、术后平均拔管时间、平均睁眼时间及不良反应发生情况.结果:观察组患者收缩压、舒张压诱导前与气腹后比较无显著差异(P>0.05);观察组患者术后平均拔管时间、睁眼时间均明显短于对照组,两组相比差异具有显著性(P<0.05);观察组患者不良反应发生率低于对照组,两组相比差异具有显著性(P<0.05).结论:靶控输注丙泊酚全凭静脉麻醉可以为腹腔镜胆囊切除术患者提供良好的麻醉效果,安全可靠.
목적:비교파공수주병박분전빙정맥마취여정흡복합마취재복강경담낭절제술중적림상효과.방법:66례행복강경담낭절제술적환자수궤분위관찰조여대조조량조각33례,관찰조채용파공수주병박분전빙정맥마취,대조조채용정흡복합마취.관찰비교량조환자유도전、기복후수축압、서장압적변화、혈양포화도、술후평균발관시간、평균정안시간급불량반응발생정황.결과:관찰조환자수축압、서장압유도전여기복후비교무현저차이(P>0.05);관찰조환자술후평균발관시간、정안시간균명현단우대조조,량조상비차이구유현저성(P<0.05);관찰조환자불량반응발생솔저우대조조,량조상비차이구유현저성(P<0.05).결론:파공수주병박분전빙정맥마취가이위복강경담낭절제술환자제공량호적마취효과,안전가고.
Objective:To compare the effect of target controlled infusion (TCL) propofol total intravenous anesthesia (TIVA) be-tween intratracheal general anesthesia during laparoscopic cholecystectomy (LC).Methods:66 patients undergoing LC were divided in-to the observation group and the control group 33 patients in each group.Observation group received target controlled infusion propofol total intravenous anesthesia and the control group received intratracheal general anesthesia .The SBP, DBP, SpO2 , the mean postoper-ative extubation time, the average time to eye opening and adverse reactions were measured before anesthesia and after peritoneal insuf -flation of CO2.Results:The SBP, DBP and SpO2 of observation group patients before anesthesia and after peritoneal insufflation of CO2 showed no significant difference (P>0.05).Compared with the mean postoperative extubation time and the average time to eye opening observation group patients were significantly shorter than the control group (P <0.05);The incidence of the side effect of ob-servation group was lower than control group (P <0.05).Conclusion:Target controlled infusion propofol total intravenous anesthesia can provide good anesthetic effect for patients with laparoscopic cholecystectomy .