中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
17期
122-123
,共2页
异丙酚%芬太尼%瑞芬太尼%靶控静脉麻醉
異丙酚%芬太尼%瑞芬太尼%靶控靜脈痳醉
이병분%분태니%서분태니%파공정맥마취
Propofol%Fentanyl%Remifentanil%Target-controlled intravenous anesthesia
目的：对异丙酚复合芬太尼或瑞芬太尼靶控静脉麻醉与静吸复合麻醉的临床疗效进行分析。方法随机选取2012年4月-2014年4月90例来该院行腹腔镜胆囊切除术的患者，盲分法随机分为观察组与对照组各45例，对照组患者给予静脉复合麻醉方法，观察组患者采取靶控静脉麻醉，比较两组患者的麻醉效果。结果两组患者在麻醉诱导时SBP、DBP、HR及MAP无统计学意义(P>0.05)，SBP<90 mmHg比重和插管反应率观察组患者要低于对照组(P<0.05)，观察组患者的拔管时间以及术后康复时间(17±5.6、19±8.2)min均少于对照组(22±7.2、23±4.6)min，观察组在减少插管应激反应明显优于对照组(P<0.05)。结论在临床中应用异丙酚复合芬太尼或瑞芬太尼靶控静脉麻醉更加平稳，术后拔管以及恢复方面的临床应用价值更高，值得临床推广。
目的：對異丙酚複閤芬太尼或瑞芬太尼靶控靜脈痳醉與靜吸複閤痳醉的臨床療效進行分析。方法隨機選取2012年4月-2014年4月90例來該院行腹腔鏡膽囊切除術的患者，盲分法隨機分為觀察組與對照組各45例，對照組患者給予靜脈複閤痳醉方法，觀察組患者採取靶控靜脈痳醉，比較兩組患者的痳醉效果。結果兩組患者在痳醉誘導時SBP、DBP、HR及MAP無統計學意義(P>0.05)，SBP<90 mmHg比重和插管反應率觀察組患者要低于對照組(P<0.05)，觀察組患者的拔管時間以及術後康複時間(17±5.6、19±8.2)min均少于對照組(22±7.2、23±4.6)min，觀察組在減少插管應激反應明顯優于對照組(P<0.05)。結論在臨床中應用異丙酚複閤芬太尼或瑞芬太尼靶控靜脈痳醉更加平穩，術後拔管以及恢複方麵的臨床應用價值更高，值得臨床推廣。
목적：대이병분복합분태니혹서분태니파공정맥마취여정흡복합마취적림상료효진행분석。방법수궤선취2012년4월-2014년4월90례래해원행복강경담낭절제술적환자，맹분법수궤분위관찰조여대조조각45례，대조조환자급여정맥복합마취방법，관찰조환자채취파공정맥마취，비교량조환자적마취효과。결과량조환자재마취유도시SBP、DBP、HR급MAP무통계학의의(P>0.05)，SBP<90 mmHg비중화삽관반응솔관찰조환자요저우대조조(P<0.05)，관찰조환자적발관시간이급술후강복시간(17±5.6、19±8.2)min균소우대조조(22±7.2、23±4.6)min，관찰조재감소삽관응격반응명현우우대조조(P<0.05)。결론재림상중응용이병분복합분태니혹서분태니파공정맥마취경가평은，술후발관이급회복방면적림상응용개치경고，치득림상추엄。
Objective To probe into the clinical effects of target-controlled intravenous anesthesia and intravenous inhalational anesthesia by using propofol-fentanyl or propofol-remifentanil. Methods 90 patients who received laparoscopic cholecystectomy from 2012 April to 2013 April were selected and randomly divided into the observation group and the control group, with 45 pa-tients in each group. The control group was given intravenous inhalational anesthesia, and the observation group was given target-controlled intravenous anesthesia. The anesthetic effects of the two groups were compared. Results SBP, DBP, HR and MAP of the two groups during anesthesia induction were of no statistical difference (P>0.05). The SBP of the observation group was less than 90mmHg and its intubation response rate was significantly lower than that of the control group (P<0.05). The extubation time (17±5.6)min and postoperative recovery time (19±8.2)min of the observation group were significantly shorter than those (22±7.2、23±4.6)min of the control group. In reducing intubation stress reaction, the observation group was better than the control group (P<0.05).Conclusion Propofol-fentanyl or Propofol-remifentanil target-controlled intravenous anesthesia is more stable in the clinical application, and the clinical value of postoperative extubation and recovery is higher, so it is worth clinical promotion.
