异丙酚联合瑞芬太尼靶控输注对食管静脉曲张术的效果

Effect of Curing Esophageal Varices Using Propofol and Remifentanil

目的:分析接受胃镜下食管静脉曲张套扎术治疗的患者采用异丙酚联合瑞芬太尼靶控输注的效果。方法:选取2017年4月至2018年9月于解放军联勤保障部队第909医院接受胃镜下食管静脉曲张套扎术的患者72例,通过随机抽签法分为对照组与观察组,各36例。为对照组患者实施丙泊酚联合芬太尼麻醉,为观察组患者实施异丙酚联合瑞芬太尼靶控输注。结果:麻醉不同时段观察组患者的心率以及血压波动较小,对照组患者心率以及血压波动较大,差异具有统计学意义(P <0.05)。对照组患者定向力恢复时间为(16.1±1.7)min,观察组患者定向力恢复时间为(8.2±1.3)min,组间比较,差异具有统计学意义(P <0.05)。结论:接受胃镜下食管静脉曲张套扎术治疗的患者采用异丙酚联合瑞芬太尼靶控输注有助于其血流动力学保持稳定。

Objective To analyze the effect of propofol combined with remifentanil target-controlled infusion in patients undergoing endoscopic esophageal variceal ligation. Methods Seventy-two patients underwent endoscopic esophageal varices ligation in the 909 th hospital of the People’s Liberation Army Joint Service Support Force from April 2017 to September 2018 were randomly divided into the control group and the observation group, 36 cases each. Propofol combined with fentanyl was anesthetized in the control group, and propofol combined with remifentanil target-controlled infusion was performed in the observation group. Results Heart rate and blood pressure fluctuations were small in the observation group at different time points. The heart rate and blood pressure fl uctuations were larger in the comparison group, and the difference between the two groups was statistically signifi cant(P < 0.05). The recovery time of the patients in the comparison group was(16.1 ± 1.7) min, and the recovery time of the patients in the observation group was(8.2 ± 1.3) min. The difference between the two groups was statistically signifi cant(P < 0.05). Conclusion Propofol combined with remifentanil target-controlled infusion in patients undergoing endoscopic esophageal variceal ligation can help hemodynamics remain stable.