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瑞芬太尼联合丙泊酚双通道靶控在腹腔镜胆囊切除术中的应用 被引量：7

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摘要 目的比较瑞芬太尼联合丙泊酚双通道靶控输注全凭静脉麻醉和静吸复合全麻应用于腹腔镜胆囊切除术(LC)的血流动力学变化和不良反应。方法择期手术患者40例,ASAⅠ～Ⅱ级,心肺功能正常,随机分成瑞芬太尼-丙泊酚靶控输注组(TCI组)和静吸复合全麻组(F组)各20例。记录基础值,插管后1min,气腹前,气腹后5min,气腹后10min和拔管时的桡动脉有创动脉压[收缩压(SBP),舒张压(DBP)],心率(HR)和拔管时间,清醒程度及术后24h的恶心、呕吐情况。结果术中TCI组血流动力学比F组平稳,差异有显著性(P<0.05)。术后苏醒TCI组也优胜于F组(P<0.05)。而且术后发生恶心、呕吐的患者明显较F组减少(P<0.05)。结论与常规静吸复合全麻下行LC手术比较,瑞芬太尼联合靶控输注全凭静脉麻醉围术期血流动力学更平稳,术后恢复快,不良反应更少。是腹腔镜胆囊切除术的理想方法。
作者 徐天星 董慧咏 韩伟光
机构地区 广东省广州市番禺区何贤纪念医院麻醉科 河北省老年病医院麻醉科
出处 《广东医学》 CAS CSCD 北大核心 2009年第4期621-623,共3页 Guangdong Medical Journal
关键词 瑞芬太尼 丙泊酚 靶控输注 腹腔镜胆囊切除术
分类号 R657.4 [医药卫生—外科学] R713 [医药卫生—妇产科学]
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参考文献5

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共引文献429

同被引文献64

二级引证文献53

广东医学
2009年 第4期

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