全凭静脉麻醉对腹腔镜胆囊切除手术患者生理指标的影响

Influence of total intravenous anesthesia on thephysiological indices of laparoscopic cholecystectomy patients

目的观察芬太尼、丙泊酚联合用于静脉麻醉诱导和维持过程中对腹腔镜胆囊切除手术患者生理指标的影响。方法对60例胆囊切除手术患者采用芬太尼4μg/kg、丙泊酚2mg/kg和维库溴铵0.1mg/kg诱导后气管插管。静脉持续输注丙泊酚8mg/kg.h间断注射芬太尼与维库溴铵维持麻醉,记录麻醉诱导前(T0)、诱导期间(T1)气管插管(T2)、气腹前(T3)、气腹后10min(T4)、气腹毕(T5)、术毕(T6)和气管拔管(T7)的ECG,BP,HR,SPO2。结果血流动力学指标变化不大,生理反应平稳,无并发症。结论全凭静脉复合麻醉用于腹腔镜胆囊切除手术,具有麻醉效果满意,血流动力学稳定,苏醒快速等优点。

Objective To observe the influence of eombining fentanyl and propofol for induction and maintenaneein intra-venous anesthesia on physiological indices of laparoseopie eholeeysteetomy patients. Methods Sixty patients undergoing general anesthesia were induced with fentanyl 4μg/kg,propofol 2mg/kg and veeuronium 0.1mg/kg then maintained by combining infusion of these drugs and by intermittent injection of veeuronium and fentanyl . ECG, SBP ,DBP ,HR , SPO2 were monitored during the anesthesia.Results The indices of hemodynamies were stable,physiological responds were stable and eomplietion wasn＇s observed. Conclusion The application of total intravenous anesthesia with and fentanyl to laparoseopie eholeeysteetomy is characterized with stable hemodynamics and no pollution to the operating room,and worthy of widespread application in clinical practice.