中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
8期
44-45
,共2页
丙泊酚%雷米芬太尼%靶控输注%老年腹腔镜胆囊切除术%麻醉
丙泊酚%雷米芬太尼%靶控輸註%老年腹腔鏡膽囊切除術%痳醉
병박분%뢰미분태니%파공수주%노년복강경담낭절제술%마취
Propofol%Composite%Remifentanil%Target-controlled infusion%Laparoscopic cholecystectomy%Anesthesia
目的 探讨普外科老年腹腔镜胆囊切除术患者采用雷米芬太尼药物与丙泊酚药物复合靶控输注实施麻醉的临床效果.方法 本研究抽取2013年4月至2014年4月收治的老年腹腔镜胆囊切除术患者80例,随机分为对照组和观察组,就静脉复合吸入麻醉(对照组,n=40)与雷米酚太尼复合丙泊酚靶控输注麻醉(观察组,n=40)效果进行对比.结果 观察组选取病例术后管道拔除时间、术后苏醒时间均较对照组早,且意识状态较对照组理想,组间各项指标差异均有统计学意义(P＜0.05).建立CO2气腹后,对照组患者心率、SBP、DBP相对观察组均居较高水平,差异有统计学差异(P＜0.05).且观察组有较为平稳的血流动力学变化,临床数据在建立CO2气腹5 min后变化较小.结论 老年腹腔镜胆囊切除术采用丙泊酚复合雷米芬太尼靶控输注,不良反应少,易维持循环稳定,可更好抑制应激反应,术后恢复快,为理想麻醉方法.
目的 探討普外科老年腹腔鏡膽囊切除術患者採用雷米芬太尼藥物與丙泊酚藥物複閤靶控輸註實施痳醉的臨床效果.方法 本研究抽取2013年4月至2014年4月收治的老年腹腔鏡膽囊切除術患者80例,隨機分為對照組和觀察組,就靜脈複閤吸入痳醉(對照組,n=40)與雷米酚太尼複閤丙泊酚靶控輸註痳醉(觀察組,n=40)效果進行對比.結果 觀察組選取病例術後管道拔除時間、術後囌醒時間均較對照組早,且意識狀態較對照組理想,組間各項指標差異均有統計學意義(P＜0.05).建立CO2氣腹後,對照組患者心率、SBP、DBP相對觀察組均居較高水平,差異有統計學差異(P＜0.05).且觀察組有較為平穩的血流動力學變化,臨床數據在建立CO2氣腹5 min後變化較小.結論 老年腹腔鏡膽囊切除術採用丙泊酚複閤雷米芬太尼靶控輸註,不良反應少,易維持循環穩定,可更好抑製應激反應,術後恢複快,為理想痳醉方法.
목적 탐토보외과노년복강경담낭절제술환자채용뢰미분태니약물여병박분약물복합파공수주실시마취적림상효과.방법 본연구추취2013년4월지2014년4월수치적노년복강경담낭절제술환자80례,수궤분위대조조화관찰조,취정맥복합흡입마취(대조조,n=40)여뢰미분태니복합병박분파공수주마취(관찰조,n=40)효과진행대비.결과 관찰조선취병례술후관도발제시간、술후소성시간균교대조조조,차의식상태교대조조이상,조간각항지표차이균유통계학의의(P＜0.05).건립CO2기복후,대조조환자심솔、SBP、DBP상대관찰조균거교고수평,차이유통계학차이(P＜0.05).차관찰조유교위평은적혈류동역학변화,림상수거재건립CO2기복5 min후변화교소.결론 노년복강경담낭절제술채용병박분복합뢰미분태니파공수주,불량반응소,역유지순배은정,가경호억제응격반응,술후회복쾌,위이상마취방법.
Objective To investigate the effect of propofol combined with remifentanil by targetcontrolled infusion for laparoscopic cholecystectomy in elderly group in department of general surgery.Methods Eighty elderly patient who had conducted laparoscopic cholecystectomy from April 2013 to April 2014 were selected and randomly divided into control group and observation group(40 cases in each group).The control group was given intravenous-inhalation combined with anesthesia and the observation group was given propofol combined with remifentanil by target-controlled infusion over the surgerys.Results The time of disconnecting pipes and postoperative recovery in observation group was earlier than that of control group,and the mind state was also better.The differences were all statistically significant (P ＜ 0.05).The heart rate,SBP,DBP levels were all higher in control group after establishing CO2 insufflation (P ＜ 0.05).What was more,observation group had a more stable hemodynamics,the clinical data changed less obvious after the of CO2 insufflation was established for 5 minutes.Conclusions Propofol combined with remifentanil by target-controlled infusion for laparoscopic cholecystectomy in elderly group has less adverse reactions; it can maintain loop stability and inhibit the stress response,and the postoperative recovery is faster.Therefore it is a better and effective method of anesthesia.
