腹腔镜胆囊切除术麻醉分析

Analysis of Anesthesia in Laparoscopic Cholecystectomy

目的分析腹腔镜胆囊切除术麻醉方法与效果。方法选取2015年1～12月腹腔镜胆囊切除术患者45例作为研究对象,依照数字法分组。对照组22例,选择丙泊酚与瑞芬太尼联合麻醉;实验组23例,选择七氟烷与瑞芬太尼联合麻醉。比较两组的麻醉效果、拔管时间和苏醒时间。结果与对照组相比,实验组麻醉效果较好,拔管时间及苏醒时间更短,差异有统计学意义（P〈0.05）。结论腹腔镜胆囊切除术选择七氟烷和瑞芬太尼联合麻醉,麻醉效果较好。

Objective To analyze the method and effect of anesthesia on laparoscopic cholecystectomy. Methods From January 2015 to December 2015, 45 cases of patients who are operated with laparoscopic cholecystectomy in our hospital were divided into two groups according to digits; 22 patients in control group are given about Propofol combined with Remifentanil anesthesia, while another 23 patients in study group are given about Sevoflurane combined with Remifentanil anesthesia, and then to compare the anesthesia effects between two groups. Results Anesthesia efficiency in study group is better than that in control group, and patients＇ extubation and revival time in study group are shorter than those in control group; there was statistically significant difference between two groups（P〈0.05）. Conclusion Sevoflurane combined with Remifentanil is much more effective in anesthesia application of laparoscopic cholecystectomy.