瑞芬太尼复合丙泊酚麻醉在腹腔镜胆囊切除术中的应用

Application remifentanil and propofol during laparoscopic cholecystectomy

目的观察瑞芬太尼复合丙泊酚全凭静脉麻醉在腹腔镜胆囊切除术的应用效果。方法将ASAⅠ～Ⅱ级择期腹腔镜手术患者60例随机分为瑞芬太尼组和芬太尼组,每组30例。比较两组诱导时、术中和清醒时血流动力学参数、苏醒时间、拔管时间和意识状态(OAAS)评分。结果两组患者在诱导时、术中和清醒时SBP、DBP比较差异有统计学意义(P<0.05);MAP、HR和SPO2比较差异无统计学意义(P>0.05),两组患者苏醒、拔管时间和拔管后5min、15min、30min的OAAS评分比较差异有统计学意义(P<0.05)。结论瑞芬太尼复合丙泊酚用于腹腔镜胆囊切除术中麻醉,血流动力学平稳,苏醒快,可控性强,值得临床推广和应用。

Objective To observe the effect of ruifentanyl and Propofol total intravenous anesthesia in laparoscopic cholecystectomy.Methods ASAⅠ~Ⅱ elective laparoscopic surgery were randomly divided into 60 cases of remifentanil and fentanyl groups,n=30.Comparison of two groups induction,intraoperative hemodynamic parameters,and awake,recovery time,extubation time,and consciousness（OAAS） score.Results Two graups in the induction,surgery and awake SBP,DBP the difference was statistically significant（P〈0.05）;MAP,HR and SPO2 was no significant difference（P〉0.05）,two groups regained consciousness,extubation time,and after extubation 5min,15min,30min of OAAS scores were significantly（P〈0.05）.Conclusions Remifentanil and Propofol for laparoscopic cholecystectomy in anesthesia,hemodynamic stability,rapid recovery,control,and is worthy of promotion and application.