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丙泊酚静脉麻醉与静吸复合麻醉用于腹腔镜胆囊切除术的比较

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摘要 目的比较丙泊酚静脉麻醉和静吸复合麻醉用于腹腔镜胆囊切除术(LC)对全麻质量的影响.方法将86例ASAI~Ⅱ级择期行LC患者随机分成丙泊酚静脉麻醉组(A组,43例)和静吸复合麻醉组(B组,43例).术中连续监测BP、HR、SPQ,观察苏醒时间,苏醒期躁动,术后24h恶心呕吐、呼吸道分泌物及术中知晓情况.结果A组苏醒时间显著短于B组(P<0.05),术后24h恶心、呕吐发生率显著低于B组(P<0.05).A、B两组气腹后BP、HR等比术前均有所升高或加快(P<0.05),但组间差异无显著性(P>0.05).结论丙泊酚静脉麻醉用于LC具有苏醒快、恶心呕吐发生率低、呼吸道分泌物少等优点,是LC较理想的麻醉方法.
出处 《现代实用医学》 2005年第10期650-651,共2页 Modern Practical Medicine
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