芬太尼复合丙泊酚麻醉在肝肿瘤射频消融中的应用

Applications of anesthesia of fentanyl combined with propofol in radiofrequency ablation of liver tumors

目的探讨芬太尼复合丙泊酚麻醉在肝肿瘤射频消融中的临床应用效果。方法对40例接受肝肿瘤射频消融的患者,入室后先给予芬太尼,待患者意识消失后给予丙泊酚靶控输注,观察患者对手术操作的耐受程度及镇痛效果。结果镇痛有效率达100%,麻醉后血压、心率和血氧饱和度稍降,但均在正常范围内,差异无统计学意义(P>0.05)。结论芬太尼复合丙泊酚麻醉在肝肿瘤射频消融中的应用减少了患者对手术的恐惧,苏醒快,麻醉效果可靠,能满足手术的需要,值得临床推广。

Objective To investigate the clinical application of anesthesia of fentanyl combined with propofol in the radiofrequency ablation of liver tumors. Methods Forty patients who underwent radiofrequency ablation of liver tumors were included in the study. When the patients went into the operating room, fentanyl and then prepofol were given to them, and the propofol target-controlled infusion was given to them after they lost consciousness. The analgesic effect and the tolerance on operation were observed. Results The effective rate of analgesia was 100%. The heart rate and the blood pressure slightly decreased after anesthesia, but all within normal range, there were no difference （P 〉 0. 05）. Conclusion The application of anesthesia of fentanyl combined with propofol in the radiofrequeney ablation of liver tumor may reduce the fear of the patients, lessen the waking up time. Its effect of anesthesia was reliable. This method can meet the need for surgery, and is worthy of promotion.