CAJ | 학술논문

目的探讨不同麻醉方法在阑尾炎腹腔镜手术中的应用效果. 方法收集2012年9月—2014年12月在我院进行阑尾炎腹腔镜手术的106例患者进行回顾性研究, 将采用瑞芬太尼复合丙泊酚靶控输注进行麻醉的设为A组,采用芬太尼静脉复合麻醉的设为B组. 比较2组麻醉药起效时间、术中平均动脉压及患者恢复情况. 结果A组患者麻醉药起效时间明显比B组短,患者平均动脉压比B组稳定,恢复情况明显比B组患者好,差异均有统计学意义(P<0.05). 结论在阑尾炎腹腔镜手术中,使用瑞芬太尼复合丙泊酚靶控输注麻醉起效快、术中患者平均动脉压变化小且患者恢复情况好,值得推广应用.
목적 탐토불동마취방법재란미염복강경수술중적응용효과. 방법 수집2012년9월—2014년12월재아원진행란미염복강경수술적106례환자진행회고성연구, 장채용서분태니복합병박분파공수주진행마취적설위A조,채용분태니정맥복합마취적설위B조. 비교2조마취약기효시간、술중평균동맥압급환자회복정황. 결과A조환자마취약기효시간명현비B조단,환자평균동맥압비B조은정,회복정황명현비B조환자호,차이균유통계학의의(P<0.05). 결론 재란미염복강경수술중,사용서분태니복합병박분파공수주마취기효쾌、술중환자평균동맥압변화소차환자회복정황호,치득추엄응용.
Objective To explore the effects of different anesthetic methods in appendicitis laparoscopic surgery. Methods Collect 106 cases of appendicitis laparoscopic surgery patients in our hospital from 9th 2012 to 12th2014 were retrospectively studied. A group patients was taken with remifentanil and propofol of target control input Note the way anesthesia,and B group was taken with fentanyl intravenous anesthesia. Select the work time of anesthetics,mean artery pressure,and the condition of patients recovery to observe and compare.Results The work time of anesthetics in A group was significantly shorter than B group,the difference was statistically significant. The mean artery pressure of A group was more stable than B group. The condition of patients recovery in A group was significantly better than B group,and the difference was statistically significant.Conclusion In appendicitis laparoscopic surgery,the propofol of remifentanil target-controlled infusion anesthesia not only has fast wake time.