摘要
目的研究异丙酚和芬太尼全凭静脉麻醉在腹腔镜胆囊切除术中(LC)的应用及其效果。方法择期LC手术患者100例随机分为静吸复合麻醉组(A组)50例和全凭静脉麻醉组(B组)50例。记录麻醉诱导前、气腹前和气腹后10min、气腹毕和术毕的心率(HR)、收缩压(SBP)、舒张压(DBP)和脉搏血氧饱和度(SpO2)及停止麻醉至拔管的时间、拔管时的清醒程度。结果A组气腹后10min HR(96.8±13.5)次·min^-1、SBP(142.5±14.3)mmHg、DBP(93.0±14.3)mmHg均高于麻醉诱导前(82.3±12.5)次·min^-1、(129.0±21.7)mmHg、(77.3±13.5)mmHg(P〈0.05—0.01);B组气腹后10min HR(84.0±11.0)次/min、气腹毕(76.3±9.0)次/min低于A组(96.8±13.5)次/min、(84.1±11.0)次/min(P〉0.05);B组患者术毕睁眼时间(6.5±1.5)min、拔管时间(11.5±1.4)min、术后恶心呕吐3例、术后8hVAS值(2.8±1.1)均低于A组(10.5±2.8)min、(25.2±9.5)min、12例、(5.4±2.1)(P〈0.05)。结论全凭静脉麻醉用于LC手术麻醉效果满意。
Objective To study the application of total intravenous anesthesia(TIVA) in patients with larparoscopic cholecystectomy(LC). Methods 100 cases with LC were randomly and evenly assigned to two groups: the combined intravenous with inhalation anesthesia(CIIA) group( n = 50) and the TIVA group( n = 50). The maintain anesthesia. BP, HR and SpO2 at all stages and time for extubation,the consciousness were recorded. Results The pneumoperitoneum after 10 min HR(96. 8 ± 13.5 )times/min,SBP( 142. 5 ± 14.3) mmHg,DBP( 93.0 ± 14. 3 ) mmHg in A group higher than before induction of anesthesia(82. 3 ± 12.5) times/min, ( 129. 0 ± 21.7 ) mmHg, (77.3 ± 13.5 ) mmHg( P 〈 0. 05 ± 0. 01 ) ; The pneumoperitoneum after 10 min HR ( 84. 0 ± 11.0) fimes/min, pneumoperitoneum complete(76. 3 ±9. 0) times/min in B group lower than the(96.8 ± 13.5) times/min, (84. 1 ± 11.0) times/ min in A group(P 〉 0. 05 ) ; B group patients completed the opening time(6.5 ± 1.5 ) min,extubation time ( 11.5 ± 1.4) min,postoperative nausea and vomiting in 3 cases,after 8 h VAS value of (2. 8 ± 1.1 ) in group B were lower than the (10.5 ±2. 8) min,(25.2 ±9.5)min,12 cases(5.4 ±2. 1) in group A(t=2.411,P〈0. 05). Conclusion The application of TIVA to LC anesthetic effect is satisfaction.
出处
《中国基层医药》
CAS
2009年第7期1176-1177,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胆囊切除术
腹腔镜
麻醉
静脉
Cholecystectomy,laparoscopi
Anesthesia, intravenous