CAJ | 학술논문

目的：分析探讨腹腔镜胆囊切除术的麻醉方法以及麻醉效果。方法选取于2014年1月～2014年11月期间在我院进行腹腔镜胆囊切除术的42例患者，根据麻醉方法的不同将患者随机分为两组，对照组患者采用丙泊酚联合瑞芬太尼进行麻醉，观察组患者采用七氟烷复合瑞芬太尼进行麻醉。结果观察组患者的苏醒时间和拔管时间明显短于对照组，苏醒评分和有效率明显高于对照组，差异显著，具有统计学意义（P<0.05）。结论腹腔镜胆囊切除术中采用七氟烷复合瑞芬太尼的麻醉效果尤为显著，能够大大降低患者的苏醒时间和拔管时间，值得在腹腔镜胆囊切除术中进行广泛应用。
목적：분석탐토복강경담낭절제술적마취방법이급마취효과。방법선취우2014년1월～2014년11월기간재아원진행복강경담낭절제술적42례환자，근거마취방법적불동장환자수궤분위량조，대조조환자채용병박분연합서분태니진행마취，관찰조환자채용칠불완복합서분태니진행마취。결과관찰조환자적소성시간화발관시간명현단우대조조，소성평분화유효솔명현고우대조조，차이현저，구유통계학의의（P<0.05）。결론복강경담낭절제술중채용칠불완복합서분태니적마취효과우위현저，능구대대강저환자적소성시간화발관시간，치득재복강경담낭절제술중진행엄범응용。
Objective To explore anesthesia method and anesthetic efficacy in laparoscopic cholecystectomy. Methods Choose 42 patients operated with laparoscopic cholecystectomy in hospital from January 2014 to November 2014 and separate them into two groups according to different anesthesia methods. Patients in control group are given propofol combined with remifentanil anesthesia treatment; while patients in study group are sevoflurane combined with remifentanil anesthesia treatment. Results Patients’recovery time as well as their extubation time in study group is quicker than that in control group;besides,the awakening score and treatment efficiency in study group are much better than those in control group;there is a differential between these two groups and such a differential has statistic value(P<0.05). Conclusion Sevoflurane combined with remifentanil anesthesia treatment is of efficacy in laparoscopic cholecystectomy; it is conducive to reducing patients’recovery time as well as their extubation time; therefore,such an anesthesia method is quite worthwhile to be promoted and applied widespread in laparoscopic cholecystectomy.