航空航天医学杂志
航空航天醫學雜誌
항공항천의학잡지
Journal of Aerospace Medicine
2015年
10期
1189-1190
,共2页
丙泊酚静脉全麻%七氟醚吸入麻醉%腹腔镜胆囊切除术%麻醉效果
丙泊酚靜脈全痳%七氟醚吸入痳醉%腹腔鏡膽囊切除術%痳醉效果
병박분정맥전마%칠불미흡입마취%복강경담낭절제술%마취효과
propofol intravenous anesthesia%sevoflurane inhalation anesthesia%laparoscopic cholecystectomy%gener-al anesthesia
目的 探讨丙泊酚静脉全麻与七氟醚吸入麻醉在腹腔镜胆囊切除术中的临床麻醉效果. 方法 选取2011年10月~2014年12月进行腹腔镜胆囊切除术治疗的124例患者,分为对照组62例和观察组62例,对照组患者采用丙泊酚静脉全麻,观察组患者采用七氟醚吸入麻醉,对比观察两组麻醉方法得临床应用效果. 结果 ①血流动力学比较:两组患者的T1、T2、T3 和T4 时刻的HR与MRP比较无显著差异(P>0.05),HR与MRP均在T2 和T3 时刻上升,并于T4 时刻再降低. ②术后恢复情况比较:观察组患者的术后自主呼吸时间、苏醒时间、拔管时间及指令性反应时间均显著短于对照组患者,P<0.05,差异具有统计学意义. 结论 丙泊酚静脉全麻与七氟醚吸入麻醉在腹腔镜胆囊切除术中均能较好的维持围手术期的血流动力学稳定,但七氟醚吸入麻醉患者的术后恢复时间更短,更适合此类手术.
目的 探討丙泊酚靜脈全痳與七氟醚吸入痳醉在腹腔鏡膽囊切除術中的臨床痳醉效果. 方法 選取2011年10月~2014年12月進行腹腔鏡膽囊切除術治療的124例患者,分為對照組62例和觀察組62例,對照組患者採用丙泊酚靜脈全痳,觀察組患者採用七氟醚吸入痳醉,對比觀察兩組痳醉方法得臨床應用效果. 結果 ①血流動力學比較:兩組患者的T1、T2、T3 和T4 時刻的HR與MRP比較無顯著差異(P>0.05),HR與MRP均在T2 和T3 時刻上升,併于T4 時刻再降低. ②術後恢複情況比較:觀察組患者的術後自主呼吸時間、囌醒時間、拔管時間及指令性反應時間均顯著短于對照組患者,P<0.05,差異具有統計學意義. 結論 丙泊酚靜脈全痳與七氟醚吸入痳醉在腹腔鏡膽囊切除術中均能較好的維持圍手術期的血流動力學穩定,但七氟醚吸入痳醉患者的術後恢複時間更短,更適閤此類手術.
목적 탐토병박분정맥전마여칠불미흡입마취재복강경담낭절제술중적림상마취효과. 방법 선취2011년10월~2014년12월진행복강경담낭절제술치료적124례환자,분위대조조62례화관찰조62례,대조조환자채용병박분정맥전마,관찰조환자채용칠불미흡입마취,대비관찰량조마취방법득림상응용효과. 결과 ①혈류동역학비교:량조환자적T1、T2、T3 화T4 시각적HR여MRP비교무현저차이(P>0.05),HR여MRP균재T2 화T3 시각상승,병우T4 시각재강저. ②술후회복정황비교:관찰조환자적술후자주호흡시간、소성시간、발관시간급지령성반응시간균현저단우대조조환자,P<0.05,차이구유통계학의의. 결론 병박분정맥전마여칠불미흡입마취재복강경담낭절제술중균능교호적유지위수술기적혈류동역학은정,단칠불미흡입마취환자적술후회복시간경단,경괄합차류수술.
Objective To investigate clinical anesthesia effect of propofol intravenous anesthesia and sevoflurane in-halation anesthesia for laparoscopic cholecystectomy.Methods From 2011 October to 2014 December,124 cases of lap-aroscopic cholecystectomy were selected in the Second Affiliated Hospital of Shenyang Medical College, they were ran-domly divided into the control group(62 cases),and the observation group(62 cases);The control group were treated with propofol intravenous anesthesia, and the observation group received by sevoflurane inhalation anesthesia, clinical anesthesia effect was compared between two groups.Results ①comparison of hemodynamics:There was no significant difference in HR and MRP at T1, T2, T3 and T4 time between two groups (P>0.05) ,HR and MRP were both in-creased at T2 and T3 , and then decreased at the moment of T4 .②The postoperative recovery:in the postoperative spon-taneous breathing time, awakening time, extubation time and mandatory reaction time,the observation group was signifi-cantly shorter than the control group, P<0.05, the difference was statistically significant.Conclusions Propofol intra-venous anesthesia and sevoflurane inhalation anesthesia for laparoscopic cholecystectomy can both better maintain the sta-bility of hemodynamics during operation period, but the sevoflurane inhalation anesthesia has shorter postoperative recov-ery time, and it is more suitable for the laparoscopic cholecystectomy.
