CAJ | 학술논문

目的：探讨在实施短时腹腔镜手术麻醉的过程中，选择丙泊酚复合芬太尼或者瑞芬太尼的临床效果。方法选取我院2012年7月-2014年7月腹腔镜胆囊切除术患者130例，随机分为观察组65例和对照组65例，分别采用丙泊酚复合瑞芬太尼和丙泊酚复合芬太尼。对比两组患者在不同时间点血压、心率变化以及苏醒时间。结果观察组患者在插管1分钟以及气腹1分钟时，心率、血压均低于对照组（P ﹤0.05）；观察组患者呼之睁眼时间、自主呼吸恢复时间、拔管时间以及定向力恢复时间均明显短于对照组（P ﹤0.05）。结论丙泊酚复合瑞芬太尼用于短时腹腔镜手术麻醉，血流动力学更平稳，麻醉恢复时间更快。
목적：탐토재실시단시복강경수술마취적과정중，선택병박분복합분태니혹자서분태니적림상효과。방법선취아원2012년7월-2014년7월복강경담낭절제술환자130례，수궤분위관찰조65례화대조조65례，분별채용병박분복합서분태니화병박분복합분태니。대비량조환자재불동시간점혈압、심솔변화이급소성시간。결과관찰조환자재삽관1분종이급기복1분종시，심솔、혈압균저우대조조（P ﹤0.05）；관찰조환자호지정안시간、자주호흡회복시간、발관시간이급정향력회복시간균명현단우대조조（P ﹤0.05）。결론병박분복합서분태니용우단시복강경수술마취，혈류동역학경평은，마취회복시간경쾌。
Objective:To investigate the process of the implementation of anesthesia in laparoscopic surgery,and clini-cal effect of propofol combined with fentanyl or remifentanil obtained. Methods:130 cases of patients undergone laparoscop-ic cholecystectomy(LC)in our Hospital in July 2012 - July 2014 were randomly divided into the observation group(65 cases)and control group(65 cases),treated respectively with propofol combined remifentanil and propofol combined with fentanyl. The blood pressure,heart rate and recovery time of the two groups of patients were compared at different time. Results:The patients in the observation group and within 1m after intubation and pneumoperitoneum,heart rate and blood pressure were lower than those in the control group(P ﹤ 0. 05);the eye opening time when called,the spontaneous breathing recovery time,extubation time and orientation recovery time were significantly shorter in the observation group were than those in the control group(P ﹤ 0. 05). Conclusion:Propofol and remifentanil anesthesia for laparoscopic surgery in a short time has more stable hemodynamics,anesthesia and recovery is faster.